دورية أكاديمية
Outcomes of laparoscopic donor nephrectomy in the presence of multiple renal arteries
| العنوان: | Outcomes of laparoscopic donor nephrectomy in the presence of multiple renal arteries |
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| المؤلفون: | Anil Kapoor, Shahid Lambe, Ashley L Kling, Kevin R Piercey, Paul J Whelan |
| المصدر: | Urology Annals, Vol 3, Iss 2, Pp 62-65 (2011) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2011. |
| سنة النشر: | 2011 |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Laparoscopic donor nephrectomy, multiple renal arteries, outcomes, single renal artery, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | Purpose : Data of laparoscopic donor nephrectomy (LDN) with multiple renal arteries for donor and recipient outcomes were reviewed, with the aim of clarifying whether the laparoscopic approach is safe in the presence of multiple renal arteries. Materials and Methods : All donor nephrectomies performed at our institution from 2004 to 2008 were reviewed retrospectively. Results were compared between LDN kidneys with multiple arteries and those with a single renal artery. Results : Out of 171 donor nephrectomies, 21 (12%) were performed for kidneys with multiple renal arteries. All of the 150 (88%) donor nephrectomies in the single vessel group were performed laparoscopically. In the multiple artery group, 9 (43%) underwent an open procedure while 12 (57%) underwent a laparoscopic procedure. The warm ischemia time was longer in the multiple artery group than the single artery group, but the difference was not statistically significant (4.25±0.87 min vs. 4.12±0.95 min, respectively). Regarding transplant recipients, the vascular anastomosis time was similar in both groups (30±4.6 min vs. 29.5±3.7 min). The operative blood loss in the transplant recipients was significantly more in the multiple artery group compared to the single artery group (339±292 ml and 130.7±44.8 ml, respectively; P=0.03). The recipient renal function was similar for both the groups at postoperative day 7, 1 month, and at 1 year. Conclusion : The data support the fact that the laparoscopic approach to donor nephrectomy in the presence of multiple renal arteries can be performed safely with adequate laparoscopic experience. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0974-7796 0974-7834 |
| Relation: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2011;volume=3;issue=2;spage=62;epage=65;aulast=Kapoor; https://doaj.org/toc/0974-7796; https://doaj.org/toc/0974-7834 |
| DOI: | 10.4103/0974-7796.82169 |
| URL الوصول: | https://doaj.org/article/f493089dcc204bfc863d12cfcdd90512 |
| رقم الأكسشن: | edsdoj.f493089dcc204bfc863d12cfcdd90512 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 09747796 09747834 |
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| DOI: | 10.4103/0974-7796.82169 |