[Right-sided or left-sided donor nephrectomy-is this really relevant?]
Rechts- oder linksseitige Donornephrektomie – ist das wirklich relevant?
Kidney transplantation
Living donation
Outcome
Scintigraphy
Vein thrombosis
Journal
Der Urologe. Ausg. A
ISSN: 1433-0563
Titre abrégé: Urologe A
Pays: Germany
ID NLM: 1304110
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
pubmed:
10
1
2020
medline:
22
1
2020
entrez:
10
1
2020
Statut:
ppublish
Résumé
In the context of living donation, the protection of the donor and the outcome are very important aspects. However, the side selection of the donor nephrectomy is also decisive. In this work, the basics of side selection and the question of whether there are differences regarding the left-sided or right-sided donor nephrectomy are considered. Living kidney donation data of our center between December 2004 and July 2019 were evaluated in terms of withdrawal side, complications and outcome, as well as the current literature in PubMed. Finally, the results from our center are compared with the current literature. During the investigation period, 152 live donations were carried out in our center. In these cases 66 patients had a left-sided and in 86 cases a right-sided donor nephrectomy. One transplant vein thrombosis occurred in each group. Complications and outcome were similar for the recipient in both groups. It was noticed in the current literature that generally more left-sided donor nephrectomies are performed, most likely due to the preference of the surgeon. Although a low significantly increased risk of transplant vein thrombosis after right-sided donor nephrectomy is described, all authors agree that right-sided donor nephrectomy is a safe procedure with good outcome. Our own results and the current literature show that the right-sided donor nephrectomy is a safe procedure with only a slightly increased risk of complications compared to the left side and therefore can be recommended. It is clearly safe for the donor and organ, with an equivalent outcome for the recipient. The results are also dependent on the experience of the surgeon.
Sections du résumé
BACKGROUND
BACKGROUND
In the context of living donation, the protection of the donor and the outcome are very important aspects. However, the side selection of the donor nephrectomy is also decisive. In this work, the basics of side selection and the question of whether there are differences regarding the left-sided or right-sided donor nephrectomy are considered.
MATERIALS AND METHODS
METHODS
Living kidney donation data of our center between December 2004 and July 2019 were evaluated in terms of withdrawal side, complications and outcome, as well as the current literature in PubMed. Finally, the results from our center are compared with the current literature.
RESULTS
RESULTS
During the investigation period, 152 live donations were carried out in our center. In these cases 66 patients had a left-sided and in 86 cases a right-sided donor nephrectomy. One transplant vein thrombosis occurred in each group. Complications and outcome were similar for the recipient in both groups. It was noticed in the current literature that generally more left-sided donor nephrectomies are performed, most likely due to the preference of the surgeon. Although a low significantly increased risk of transplant vein thrombosis after right-sided donor nephrectomy is described, all authors agree that right-sided donor nephrectomy is a safe procedure with good outcome.
CONCLUSIONS
CONCLUSIONS
Our own results and the current literature show that the right-sided donor nephrectomy is a safe procedure with only a slightly increased risk of complications compared to the left side and therefore can be recommended. It is clearly safe for the donor and organ, with an equivalent outcome for the recipient. The results are also dependent on the experience of the surgeon.
Identifiants
pubmed: 31915888
doi: 10.1007/s00120-019-01094-8
pii: 10.1007/s00120-019-01094-8
doi:
Types de publication
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM
Pagination
32-39Références
Transplant Proc. 2017 Jul - Aug;49(6):1244-1248
pubmed: 28735988
Transplant Proc. 2018 Oct;50(8):2327-2332
pubmed: 30316352
Urology. 2012 Feb;79(2):465-9
pubmed: 22173171
Transplantation. 1997 Nov 27;64(10):1473-5
pubmed: 9392314
World J Urol. 2019 May 25;:null
pubmed: 31129713
Transplant Proc. 2012 Nov;44(9):2706-8
pubmed: 23146499
Int Urol Nephrol. 2015 Jul;47(7):1117-21
pubmed: 25997595
Urology. 2014 Oct;84(4):832-7
pubmed: 25156512
BJU Int. 2018 Aug;122(2):255-262
pubmed: 29645355
Nephrol Dial Transplant. 2017 Dec 1;32(12):2126-2131
pubmed: 29077866
World J Urol. 2018 Aug;36(8):1327-1332
pubmed: 29569036
Int Urol Nephrol. 2014 Aug;46(8):1511-9
pubmed: 24595603
Urologe A. 2015 Oct;54(10):1368-75
pubmed: 26459579
J Transplant. 2013;2013:546373
pubmed: 24228171
Transplantation. 2005 Mar 27;79(6 Suppl):S53-66
pubmed: 15785361
Clin Transplant. 2016 Feb;30(2):145-53
pubmed: 26589133
Exp Clin Transplant. 2011 Oct;9(5):310-4
pubmed: 21967256
Acta Radiol. 2014 Jul;55(6):753-60
pubmed: 24014687