Laparoscopic Donor Nephrectomy Safety: Experience of 500 Cases in Hispanic Population at a Single Institution
Transplantation Surgery, Colombiana de Trasplantes, Bogota, Colombia.
Meeting: 2018 American Transplant Congress
Abstract number: D263
Keywords: Kidney transplantation, Outcome, Safety, Surgical complications
Session Information
Session Name: Poster Session D: Surgical Issues (Open, Minimally Invasive): All Organs
Session Type: Poster Session
Date: Tuesday, June 5, 2018
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall 4EF
Background: Laparoscopic live donor nephrectomy (LDN) has become the best option in living donation because its safety and low rate of complications. This report aims to inform LDN results and characteristics in our center after 14 years of experience.
Methods: We conducted a retrospective review of 500 LDNs performed in our center between July 2003 and July 2017. We looked demographic characteristics of the donors, perioperative characteristics and complications presented during the first month after the LDN. Modified Clavien classification for LDN was used to grade complications.
Results: The mean donor age was 37.4 (0.91), 51.3% of the donors were female (n = 256) and the 85% donors were relatives (n = 429). The 95% of donors were Hispanic (n = 475). Left kidney was removed in 89% of all cases (N = 446).
| Variable | Value |
| Number of laparoscopic nephrectomies | 500 |
| Age(SD) | 37.43(0.5) |
| Genre (%) | |
| Male | 243(48.7) |
| Relation with the recipient (%) | |
| Related | 429(85.8) |
| Kidney removed (%) | |
| Left | 446(89.4) |
| Race (%) | |
| Hispanic | 475 (95) |
| Other | 25 (5) |
Complications after surgery occurred in 26 patients (5.2%) out of 500 hundred cases operated. Surgery conversion was needed in 1.6% (N = 8), Surgery time was in average 2.08 hours (SD = 0.5) and estimated blood loss average was 114 ml (DS = 9.1). The hospital stay in days had an average of 2.2 (DS=0.05).
| Variable | Value |
| Surgery conversion (%) | 8(1.6) |
| Mortality (%) | 1 (0.2) |
| Surgical time (SD) | 2.08(0.5) |
| Warm ischemia time (SD) | 3.6(0.7) |
| Estimated blood loss (SD) | 114(9.1) |
| Postoperative complications (%) | 26(5.2) |
Conclusions: Despite the fact that LDN has multiple known benefits in comparison with other procedures, there are not many publications evaluating and informing about security in terms of complications after surgery, especially in Latin American countries. As reported by other groups around the world rate of complications, surgical time, estimated blood loss and hospital stay are very homogeneous within different groups and we are not the exception. This study shows that our transplantation team has the ability to perform LDNs in very similar conditions and with similar results. We strongly believe that LDN is a procedure that is safe and benefits several patients and their families.
CITATION INFORMATION: Baez Suarez Y., Giron Luque F., Amaya Nieto J. Laparoscopic Donor Nephrectomy Safety: Experience of 500 Cases in Hispanic Population at a Single Institution Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:
Suarez YBaez, Luque FGiron, Nieto JAmaya. Laparoscopic Donor Nephrectomy Safety: Experience of 500 Cases in Hispanic Population at a Single Institution [abstract]. https://atcmeetingabstracts.com/abstract/laparoscopic-donor-nephrectomy-safety-experience-of-500-cases-in-hispanic-population-at-a-single-institution/. Accessed November 21, 2024.« Back to 2018 American Transplant Congress