The Impact of Living Donor Nephrectomy With Multiple Renal Arteries on Graft Function and Complications in Renal Transplantation

2021 ◽  
Author(s):  
Yusuf Kasap ◽  
Mustafa Karaaslan ◽  
Samet Senel ◽  
Sedat Tastemur ◽  
Erkan Olcucuoglu
Keyword(s):  
Renal Transplantation ◽  
Living Donor ◽  
Graft Function ◽  
Donor Nephrectomy ◽  
Renal Arteries ◽  
Multiple Renal Arteries ◽  
Living Donor Nephrectomy ◽  
The Impact

1951: Laparoscopic Living Donor Nephrectomy in Patients with Multiple Renal Arteries or Anomalous Renal Veins

2004 ◽  
Vol 171 (4S) ◽  
pp. 515-515 ◽  
Author(s):  
Dinesh Singh ◽  
Sidney C. Abreu ◽  
Mete Kilciler ◽  
Antonio Finelli ◽  
Anup P. Ramani ◽  
...  
Keyword(s):  
Living Donor ◽  
Donor Nephrectomy ◽  
Renal Arteries ◽  
Renal Veins ◽  
Multiple Renal Arteries ◽  
Living Donor Nephrectomy

Laparoscopic living donor nephrectomy and multiple renal arteries

1998 ◽  
Vol 176 (6) ◽  
pp. 559-563 ◽  
Author(s):  
Paul C Kuo ◽  
Eugene S Cho ◽  
John L Flowers ◽  
Stephen Jacobs ◽  
Stephen T Bartlett ◽  
...  
Keyword(s):  
Living Donor ◽  
Donor Nephrectomy ◽  
Renal Arteries ◽  
Multiple Renal Arteries ◽  
Living Donor Nephrectomy

Robot-assisted living donor nephrectomy and renal transplantation in a twin operating room: Preliminary experience

2018 ◽  
Vol 17 (2) ◽  
pp. e1943-e1944
Author(s):  
S. Serni ◽  
G. Vignolini ◽  
G. Siena ◽  
R. Campi ◽  
F. Sessa ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Operating Room ◽  
Assisted Living ◽  
Living Donor ◽  
Donor Nephrectomy ◽  
Robot Assisted ◽  
Living Donor Nephrectomy

scholarly journals Lower rate of delayed graft function is observed when epidural analgesia for living donor nephrectomy is administered

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Wolfgang Baar ◽  
Ulrich Goebel ◽  
Hartmut Buerkle ◽  
Bernd Jaenigen ◽  
Kai Kaufmann ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Living Donor ◽  
Graft Function ◽  
Donor Nephrectomy ◽  
Delayed Graft Function ◽  
Living Donor Nephrectomy

scholarly journals Right Kidney Mini-Invasive Living Donor Nephrectomy: A Safe and Efficient Alternative

2020 ◽  
Vol 104 (11-12) ◽  
pp. 859-864
Author(s):  
Lucas Broudeur ◽  
Georges Karam ◽  
Reshma Rana Magar ◽  
Pascal Glemain ◽  
Thomas Loubersac ◽  
...  
Keyword(s):  
Living Donor ◽  
Left Kidney ◽  
Graft Function ◽  
Donor Nephrectomy ◽  
Safe Procedure ◽  
Conversion To Open Surgery ◽  
Living Donor Nephrectomy ◽  
Donor Safety ◽  
Living Donor Transplantation ◽  
Significant Difference

<b><i>Introduction:</i></b> Right kidney living donor transplantation is considered more difficult and associated with more complications. The objective was to evaluate donor safety and graft function of right hand-assisted laparoscopic donor nephrectomy (HALDN). <b><i>Methods:</i></b> A total of 270 consecutive HALDN procedures have been performed in our institution up to April 2017. We retrospectively compared the outcomes of right-sided nephrectomy (R-HALDN) to left-sided nephrectomy (L-HALDN) to evaluate donor safety and graft function of R-HALDN. <b><i>Results:</i></b> Sixty-seven right kidneys were removed for functional asymmetry in favour of left kidney (35/67) or left kidney multiple arteries (28/67). Among the donors, neither conversion to open surgery nor preoperative blood transfusion was necessary. There was no significant difference in operative time, compared to L-HALDN group (170 ± 37 min vs. 171 ± 32 min; <i>p</i> value = 0.182). Warm ischaemia time was significantly longer for R-HALDN (4.0 ± 1.6 min vs. 3.0 ± 1.7 min; <i>p</i> &#x3c; 0.001). There was no significant difference in terms of post-operative complications and serum Cr levels. Among the recipients, there were no graft venous thrombosis. There was no significant difference in delayed graft function (3 for R-HALDN group and 8 for L-HALDN group; <i>p</i> value = 0.847), serum Cr levels, and graft survival. <b><i>Conclusion:</i></b> R-HALDN is a safe procedure for kidney donors, with excellent graft function for the recipients, compared to L-HALDN.

Hand-Assisted Laparoscopic Living-Donor Nephrectomy Versus Open Surgery: Evaluation of Surgical Trauma and Late Graft Function in 82 Patients

2009 ◽  
Vol 41 (10) ◽  
pp. 4039-4043 ◽  
Author(s):  
F. Greco ◽  
A. Hamza ◽  
S. Wagner ◽  
M.R. Hoda ◽  
A. Inferrera ◽  
...  
Keyword(s):  
Open Surgery ◽  
Living Donor ◽  
Graft Function ◽  
Donor Nephrectomy ◽  
Surgical Trauma ◽  
Living Donor Nephrectomy

scholarly journals Introduction of an enhanced recovery protocol into a laparoscopic living donor nephrectomy programme

2020 ◽  
Vol 102 (3) ◽  
pp. 204-208 ◽  
Author(s):  
T Brown ◽  
F Magill ◽  
N Beckett ◽  
S Kanabar ◽  
J Monserez ◽  
...  
Keyword(s):  
Living Donor ◽  
Enhanced Recovery ◽  
Postoperative Recovery ◽  
Donor Nephrectomy ◽  
Fluid Restriction ◽  
Potential Donor ◽  
Living Donor Nephrectomy ◽  
Pain Scores ◽  
Enhanced Recovery Protocol ◽  
The Impact

Introduction Living-donor renal transplantation is the optimal treatment for patients with end-stage renal disease. The rate of living donation in the UK is sub-optimal, and potential donor concerns regarding postoperative recovery may be contributory. Enhanced recovery programmes are well described for a number of surgical procedures, but experience in living-donor surgery is sparse. This study reports the impact of introducing an enhanced recovery protocol into a living-donor renal transplant programme. Materials and methods All consecutive patients undergoing laparoscopic living-donor nephrectomy over a 25-month period were included. The principles of enhanced recovery were fluid restriction, morphine sparing and expectation management. Outcome measures were postoperative pain scores and complications for donor and recipients. Results Standard care was provided for 24 (30%) patients and 57 (70%) followed an enhanced recovery pathway. The latter group received significantly less preoperative intravenous fluid (0ml vs 841ml p < 000.1) and opiate medication (14.83mg vs 23.85mg p = 0.001). Pain scores, postoperative complications and recipient transplant outcomes were comparable in both groups. Conclusions Enhanced recovery for living-donor nephrectomy is a safe approach for donors and recipients. Application of these techniques and further refinement should be pursued to enhance the experience of living donors.

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