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Laparoscopic donor nephrectomy in unusual venous anatomy - donor and recepient implications
Patil, Avinash Bapusaheb; Javali, Tarun Dilip; Nagaraj, Harohalli K; Prakash Babu, S. M. L; Nayak, Arvind.
  • Patil, Avinash Bapusaheb; M.S. Ramaiah Hospital. Department of Urology. Bangalore. IN
  • Javali, Tarun Dilip; M.S. Ramaiah Hospital. Department of Urology. Bangalore. IN
  • Nagaraj, Harohalli K; M.S. Ramaiah Hospital. Department of Urology. Bangalore. IN
  • Prakash Babu, S. M. L; M.S. Ramaiah Hospital. Department of Urology. Bangalore. IN
  • Nayak, Arvind; M.S. Ramaiah Hospital. Department of Urology. Bangalore. IN
Int. braz. j. urol ; 43(4): 671-678, July-Aug. 2017. tab, graf
Article in English | LILACS | ID: biblio-892870
ABSTRACT
ABSTRACT Objectives Laparoscopic donor nephrectomy is now a commonly performed procedure in most of renal transplantation centers. However, the suitability of laparoscopy for donors with abnormal venous anatomy is still a subject of debate. Materials and methods Between August 2007 and August 2014, 243 laparoscopic donor nephrectomies were performed in our institution. All donors were evaluated with preoperative three-dimensional spiral computed tomography (CT) angiography Thirteen (5.35%) donors had a left renal vein anomaly. A retrospective analysis was performed to collect donor and recipient demographics and perioperative data. Results Four donors had a type I retroaortic vein, seven had type II retroaortic vein and a circumaortic vein was seen in three donors. The mean operative time was 114±11 minutes and mean warm ischemia time was 202±12 seconds. The mean blood loss was 52.7±18.4mL and no donor required blood transfusion. Mean recipient creatinine at the time of discharge was 1.15±0.18mg/dL, and creatinine at six months and one year follow-up was 1.12±0.13mg/dL and 1.2±0.14mg/dL, respectively. There were no significant differences in operative time, blood loss, warm ischemia time, donor hospital stay or recipient creatinine at 6 months follow-up, following laparoscopic donor nephrectomy in patients with or without left renal vein anomalies. Conclusion Preoperative delineation of venous anatomy using CT angiography is as important as arterial anatomy. Laparoscopic donor nephrectomy is safe and feasible in patients with retroaortic or circumaortic renal vein with good recipient outcome.
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Full text: Available Index: LILACS (Americas) Main subject: Renal Veins / Kidney Transplantation / Tissue and Organ Harvesting / Kidney / Nephrectomy Type of study: Observational study Limits: Adult / Female / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2017 Type: Article Affiliation country: India Institution/Affiliation country: M.S. Ramaiah Hospital/IN

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Full text: Available Index: LILACS (Americas) Main subject: Renal Veins / Kidney Transplantation / Tissue and Organ Harvesting / Kidney / Nephrectomy Type of study: Observational study Limits: Adult / Female / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2017 Type: Article Affiliation country: India Institution/Affiliation country: M.S. Ramaiah Hospital/IN