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Titolo:
Multiple renal arteries do not pose an impediment to the routine use of laparoscopic donor nephrectomy
Autore:
Johnston, T; Reddy, K; Mastrangelo, M; Lucas, B; Ranjan, D;
Indirizzi:
Univ Kentucky, Dept Surg, Lexington, KY USA Univ Kentucky Lexington KY USA iv Kentucky, Dept Surg, Lexington, KY USA
Titolo Testata:
CLINICAL TRANSPLANTATION
, volume: 15, anno: 2001, supplemento:, 6
pagine: 62 - 65
SICI:
0902-0063(2001)15:<62:MRADNP>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
POTENTIAL KIDNEY DONORS; HELICAL CT; 23-HOUR STAY; STANDARD;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Johnston, T Univ Kentucky, Dept Surg, Lexington, KY USA Univ Kentucky Lexington KY USA Dept Surg, Lexington, KY USA
Citazione:
T. Johnston et al., "Multiple renal arteries do not pose an impediment to the routine use of laparoscopic donor nephrectomy", CLIN TRANSP, 15, 2001, pp. 62-65

Abstract

Since the first description by Ratner and collegues in 1996, laparoscopic live-donor nephrectomy is gaining wide acceptance in an attempt to minimizethe donor morbidity, length of hospital stay and length of time to return to work. It is unknown whether multiple renal arteries pose additional problems with laparoscopic donor nephrectomy. In November 1998, our institutioninitiated laparoscopic donor nephrectomy program. In the ensuing 19 months, we performed 25 living donor renal transplants, 24 of them using laparoscopic donor nephrectomy. The left kidney was procured in all cases. Eight donor candidates (33%) had two or more renal arteries (two arteries in five patients and three patients). Results: In six cases (25%), findings at surgery differed from the CT angography results (in four cases. CT angiogram reported fewer arteries than were found at surgery and in two cases it reported more). We found no significant differences in both donor outcomes and recipient, based on the presence or absence of multiple renal arteries. Among donor outcomes, we found equivalent results for donor warm ischemia time total donor operating time, and donor length of stay. For recipient outcomes,we found no significant differences between groups for the incidence of acute tubular necrosis (ATN), graft survival and most recent serum creatinine. In one case, we constructed two arteries into a single conduit on the backtable prior to transplantation. However, in most cases with multiple arteries, we implanted the arteries separately into the recipient external iliacartery. Based on this experience, we do not find the presence of multiple renal arteries to be a barrier to the successful use of kidney grafts procured by laparoscopic donor nephrectomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 14:24:02