Transplanting a left or right donor kidney into the left or right iliac fossa: importance of laterality and site of venous anastomosis.
Iliac fossa
Kidney transplantation
Laterality
Operating time
Venous anastomosis
Journal
Updates in surgery
ISSN: 2038-3312
Titre abrégé: Updates Surg
Pays: Italy
ID NLM: 101539818
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
04
11
2022
accepted:
17
04
2023
medline:
21
7
2023
pubmed:
12
5
2023
entrez:
12
5
2023
Statut:
ppublish
Résumé
Data on the impact of donor-to-recipient laterality on kidney transplantation are lacking. This study evaluated the impact of donor-to-iliac fossa laterality and the site of venous anastomosis on operating time and surgical outcome. This retrospective single-center study analyzed 1262 deceased donor adult kidney transplants into pristine iliac fossa. Multivariable linear and logistic regression analyses were used to identify variables with an impact on operating time and surgical complications. Operating time was shorter by 11 min in median for transplantations into the right iliac fossa compared to the left iliac fossa (p < 0.001). Operating time in left-to-right donor-to-recipient combination was shorter by 17 min in median if venous anastomoses were performed on the caval vein or common iliac vein as compared to anastomoses to the external iliac vein (p < 0.001). Overall, the shortest operating times (median 112.5 min) were achieved in left-to-right donor-to-recipient combinations with venous anastomosis to the caval or common iliac vein, without an increase in surgical complications. Kidney transplantation into the right iliac fossa with anastomosis to the caval vein or the common iliac vein saves operating time and reduces thrombotic complications. Acceptance of a left donor kidney is likely to further reduce operating time.
Identifiants
pubmed: 37171776
doi: 10.1007/s13304-023-01512-9
pii: 10.1007/s13304-023-01512-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1243-1257Informations de copyright
© 2023. Italian Society of Surgery (SIC).
Références
Gregoir W (1955) Lateral uretero-vesical anastomosis with plastic formation of ureteral segment to replace excised portion. Acta Urol Belg 23:32–37
pubmed: 14376182
Napolitano A, Fortunelli D (1960) Cancrini A [Clinical considerations on pyelo-ureteral and uretero-vesical plastic operations]. Ann Ital Chir 37:659–678
pubmed: 13727752
Salaman JR, Clarke AG, Crosby DL (1974) The management of kidney transplants damaged during their removal from the donor. Br J Urol 46:173–177
doi: 10.1111/j.1464-410X.1974.tb03740.x
pubmed: 4596074
Charlesworth M, Marangoni G, Ahmad N (2011) High ureteric injury following multiorgan recovery: successful kidney transplant with boari flap ureterocystostomy reconstruction. Arab J Nephrol Transplant 4:155–158
pubmed: 22026340
Benedetti E, Troppmann C, Gillingham K, Sutherland DE, Payne WD, Dunn DL et al (1995) Short- and long-term outcomes of kidney transplants with multiple renal arteries. Ann Surg 221:406–414
doi: 10.1097/00000658-199504000-00012
pubmed: 7726677
pmcid: 1234591
Santangelo M, Spinosa G, Grassia S, Clemente M, Caggiano M, Pelosio L et al (2008) In situ elongation patch in right kidney transplantation. Transplant Proc 40:1871–1872
doi: 10.1016/j.transproceed.2008.05.019
pubmed: 18675075
Valeriani G, Cerbone V, Russo E, Sciano D, De Rosa P (2010) Bench surgery in right kidney transplantation. Transplant Proc 42:1120–1122
doi: 10.1016/j.transproceed.2010.03.047
pubmed: 20534239
Barry JM, Fuchs EF (1978) Right renal vein extension in cadaver kidney transplantation. Arch Surg 113:300
doi: 10.1001/archsurg.1978.01370150072015
pubmed: 346002
Szmidt J, Frunze S, Karolak M, Madej K, Sablinski T, Nazarewski S (1989) Right renal vein extension technique in human kidney transplantation. Eur Urol 16:204–206
doi: 10.1159/000471570
pubmed: 2663522
Vaz O, Asderakis A, Sharma V, Moinuddin Z, Shanmugam M, Tavakoli A et al (2022) Laterality in laparoscopic hand assisted donor nephrectomy - does it matter anymore? Outcomes of a large retrospective series. Surgeon 20:e273–e281
doi: 10.1016/j.surge.2021.09.006
pubmed: 34844890
Domagala P, van den Berg T, Tran K, Terkivatan T, Kimenai H, Hartog H et al (2019) Surgical safety and efficacy of third kidney transplantation in the ipsilateral iliac fossa. Ann Transplant 24:132–138
doi: 10.12659/AOT.913300
pubmed: 30846678
pmcid: 6420794
Kulkarni S, Wei G, Jiang W, Lopez LA, Parikh CR, Hall IE (2020) Outcomes from right versus left deceased-donor kidney transplants: a US National Cohort Study. Am J Kidney Dis 75:725–735
doi: 10.1053/j.ajkd.2019.08.018
pubmed: 31812448
Carolan C, Tingle SJ, Thompson ER, Sen G, Wilson CH (2021) Comparing outcomes in right versus left kidney transplantation: a systematic review and meta-analysis. Clin Transplant 35:e14475
doi: 10.1111/ctr.14475
pubmed: 34496090
Khalil A, Mujtaba MA, Taber TE, Yaqub MS, Goggins W, Powelson J et al (2016) Trends and outcomes in right vs. left living donor nephrectomy: an analysis of the OPTN/UNOS database of donor and recipient outcomes–should we be doing more right-sided nephrectomies? Clin Transplant 30:145–153
doi: 10.1111/ctr.12668
pubmed: 26589133
Duty BD, Barry JM (2015) Diagnosis and management of ureteral complications following renal transplantation. Asian J Urol 2:202–207
doi: 10.1016/j.ajur.2015.08.002
pubmed: 29264146
pmcid: 5730752
Locke JR, Noe HN (1987) Management of obstruction and resultant complications in transplant kidney by endoscopic and percutaneous techniques. Urology 30:43–45
doi: 10.1016/0090-4295(87)90570-X
pubmed: 3299972
Murray JE, Harrison JH (1963) Surgical management of fifty patients with kidney transplants including eighteen pairs of twins. Am J Surg 105:205–218
doi: 10.1016/0002-9610(63)90292-7
pubmed: 13936774
Sansalone CV, Maione G, Aseni P, Mangoni I, Soldano S, Minetti E et al (2005) Advantages of short-time ureteric stenting for prevention of urological complications in kidney transplantation: an 18-year experience. Transplant Proc 37:2511–2515
doi: 10.1016/j.transproceed.2005.06.035
pubmed: 16182728
Benoit G, Blanchet P, Eschwege P, Alexandre L, Bensadoun H, Charpentier B (1996) Insertion of a double pigtail ureteral stent for the prevention of urological complications in renal transplantation: a prospective randomized study. J Urol 156:881–884
doi: 10.1016/S0022-5347(01)65647-7
pubmed: 8709353
Alberts VP, Idu MM, Legemate DA, Laguna Pes MP, Minnee RC (2014) Ureterovesical anastomotic techniques for kidney transplantation: a systematic review and meta-analysis. Transpl Int 27:593–605
doi: 10.1111/tri.12301
pubmed: 24606191
Moreno-Alarcon C, Server-Pastor G, Lopez-Gonzalez PA, Lopez-Cubillana P, Ruiz-Morcillo JC, Donate-Iniguez G et al (2013) Must we still be worried about multiple arteries in kidney transplantation? Nephrourol Mon 5:692–696
doi: 10.5812/numonthly.4928
pubmed: 23577333
Chabchoub K, Mhiri MN, Bahloul A, Fakhfakh S, Ben Hmida I, Hadj Slimen M et al (2011) Does kidney transplantation with multiple arteries affect graft survival? Transplant Proc 43:3423–3425
doi: 10.1016/j.transproceed.2011.09.027
pubmed: 22099812
Lechevallier E, Bretheau D, Berland Y, Olmer M, Rampal M (1995) Coulange C [Outcome of kidney transplants with multiple arteries]. Prog Urol 5:370–376
pubmed: 7670512
Gore JL, Pham PT, Danovitch GM, Wilkinson AH, Rosenthal JT, Lipshutz GS et al (2006) Obesity and outcome following renal transplantation. Am J Transplant 6:357–363
doi: 10.1111/j.1600-6143.2005.01198.x
pubmed: 16426321
Lynch RJ, Ranney DN, Shijie C, Lee DS, Samala N, Englesbe MJ (2009) Obesity, surgical site infection, and outcome following renal transplantation. Ann Surg 250:1014–1020
doi: 10.1097/SLA.0b013e3181b4ee9a
pubmed: 19779327
Singh D, Lawen J, Alkhudair W (2005) Does pretransplant obesity affect the outcome in kidney transplant recipients? Transplant Proc 37:717–720
doi: 10.1016/j.transproceed.2004.12.033
pubmed: 15848512
Morris PJ, Johnson RJ, Fuggle SV, Belger MA, Briggs JD (1999) Analysis of factors that affect outcome of primary cadaveric renal transplantation in the UK. HLA task force of the kidney advisory group of the United Kingdom transplant support service authority (UKTSSA). Lancet 354:1147–1152
doi: 10.1016/S0140-6736(99)01104-6
pubmed: 10513707
Lefaucheur C, Loupy A, Hill GS, Andrade J, Nochy D, Antoine C et al (2010) Preexisting donor-specific HLA antibodies predict outcome in kidney transplantation. J Am Soc Nephrol 21:1398–1406
doi: 10.1681/ASN.2009101065
pubmed: 20634297
pmcid: 2938596
Solheim BG, Flatmark A, Enger E, Jervell J, Thorsby E (1977) Influence of HLA-A, -B, -C, and -D matching on the outcome of clinical kidney transplantation. Transplant Proc 9:475–478
pubmed: 141132
Moreira P, Sa H, Figueiredo A, Mota A (2011) Delayed renal graft function: risk factors and impact on the outcome of transplantation. Transplant Proc 43:100–105
doi: 10.1016/j.transproceed.2010.12.023
pubmed: 21335164
Emmanouilidis N, Boeckler J, Ringe BP, Kaltenborn A, Lehner F, Koch HF et al (2017) Risk balancing of cold ischemic time against night shift surgery possibly reduces rates of reoperation and perioperative graft loss. J Transplant 2017:5362704
doi: 10.1155/2017/5362704
pubmed: 28203455
pmcid: 5288530
Simforoosh N, Aminsharifi A, Tabibi A, Fattahi M, Mahmoodi H, Tavakoli M (2007) Right laparoscopic donor nephrectomy and the use of inverted kidney transplantation an alternative technique. BJU Int 100:1347–1350
doi: 10.1111/j.1464-410X.2007.07134.x
pubmed: 17850376