Recipient outcomes in total laparoscopic live donor nephrectomy with multiple renal vessels.
Graft survival
kidney transplantation
laparoscopic nephrectomy
living donors
renal artery
Journal
Urology annals
ISSN: 0974-7796
Titre abrégé: Urol Ann
Pays: India
ID NLM: 101510823
Informations de publication
Date de publication:
Historique:
received:
26
06
2019
accepted:
13
01
2020
entrez:
26
10
2020
pubmed:
27
10
2020
medline:
27
10
2020
Statut:
ppublish
Résumé
In kidney transplantation, total laparoscopic live donor nephrectomy (TLLDN) in the presence of multiple renal arteries (MRA) is technically challenging and has traditionally been associated with higher complication rates. We report our experience of using MRA grafts procured by TLLDN. Patients undergoing TLLDN at our center (2004-2014) was identified from a prospectively maintained database and divided into single renal arteries (SRA) or MRA groups. Recipient perioperative parameters, postoperative complications, and long-term graft survival were analyzed. Of 465 patients, 106 had MRA and 359 had an SRA. There were six vascular complications in the SRA group and two in the MRA group (1.7% vs. 1.8%). There were eight ureteric complications requiring intervention in the SRA group compared to three in the MRA group (4% vs. 3%; The use of MRA grafts procured by TLLDN has comparable complication rates to SRA grafts and should not preclude selection for renal transplantation.
Identifiants
pubmed: 33100753
doi: 10.4103/UA.UA_96_19
pii: UA-12-266
pmc: PMC7546076
doi:
Types de publication
Journal Article
Langues
eng
Pagination
266-270Informations de copyright
Copyright: © 2020 Urology Annals.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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