Hand-assisted laparoscopic donor nephrectomy: 1864 cases in 15 years of experience. Turk J Med Sci 2022 Aug;52(4):1322-1328
Date
11/04/2022Pubmed ID
36326419Pubmed Central ID
PMC10388070DOI
10.55730/1300-0144.5438Scopus ID
2-s2.0-85136829892 (requires institutional sign-in at Scopus site) 1 CitationAbstract
BACKGROUND: To evaluate hand-assisted laparoscopic donor nephrectomy (HALDN) in terms of intraoperative and postoperative results.
METHODS: After institutional review board approval was obtained, a total of 1864 HALDN operations performed between March 2007 and January 2022 were retrospectively analyzed. Age, sex, body mass index (BMI), status of smoking and presence of previous abdominal surgery, laterality, operative time, transfusion requirement, port counts, length of extraction incision, time until mobilization, time until oral intake, donor serum creatinine levels before and one week after the surgery, length of postoperative hospital stay, intraoperative complications, and postoperative recovery and complications were recorded and statistically analyzed. Multiple renal arteries, BMI, right nephrectomy and male sex were also separately evaluated as risk factors for complications and operative time.
RESULTS: A total of 825 (44.26%) male and 1039 (55.74%) female patients were enrolled in the study. The mean age of the patients was 45.79 ± 12.88 years. There were a total of 143 complications (7.67% of the total 1864 cases) consisting of 68 (3.65%) intraoperative and 75 (4.02%) postoperative complications. Open conversion was necessary for 10 patients (0.53%) to manage intraoperative complications. Reoperation was needed for 1 patient due to bleeding 6 h after the operation. Multiple renal arteries were a risk factor for intraoperative complications and prolonged operative time. Right nephrectomy and male sex were also related with longer operative times.
DISCUSSION: HALDN is a safe procedure associated with low complication rates.
Author List
Günaydın B, Uçar T, Arpalı E, Akyollu B, Akıncı S, Karataş C, Öztorun K, Koçak BAuthor
Emre Arpali MD, PhD Associate Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultFemale
Hand-Assisted Laparoscopy
Humans
Intraoperative Complications
Kidney Transplantation
Laparoscopy
Living Donors
Male
Middle Aged
Nephrectomy
Postoperative Complications
Retrospective Studies
