A Retrospective Study on the Impact of Abdominal Surgical Histories on Hand-Assisted Laparoscopic Donor Nephrectomy for Living Donor Adult Kidney Transplant.
Transplant and Endocrine Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Aichi, Japan
Meeting: 2017 American Transplant Congress
Abstract number: D246
Keywords: Donation, Kidney transplantation, Renal function
Session Information
Session Name: Poster Session D: Living Donor Kidney Transplant II
Session Type: Poster Session
Date: Tuesday, May 2, 2017
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall D1
Background This study investigated the impact of hand-assisted laparoscopic donor nephrectomy (HALDN) for living donors with surgical histories.Methods During January 2009–May 2015, 555 living kidney donors underwent HALDN for kidney transplantation. A left HALDN and a right HALDN were performed in 533 donors and 22 donors, respectively. Forty-four of the 533 donors in the left HALDN group and 11 of the 22 donors in the right HALDN group had surgical histories. We compared donors with and without surgical histories in each HALDN. Results There were no significant differences in the left and right HALDN 
| Results of donor operation | ||||||
| Left HALDN | Right HALDN | |||||
| with surgical histories 44 | without surgical histories 489 | p | with surgical histories 11 | without surgical histories 11 | p | |
| Operative duration(min) | 212.1 | 222.6 | 0.152 | 233.5 | 224.5 | 0.578 |
| Blood loss (ml) | 37.1 | 33.9 | 0.702 | 41.8 | 184.6 | 0.280 |
| Warm ischemia time(s) | 131.3 | 134.4 | 0.636 | 171.0 | 160.8 | 0.545 |
| Open conversion | 0 | 1 (0.20%) | 0.999 | 0 | 1 (9.0%) | 0.999 |
| Wound infection | 9 (20.5%) | 59 (12.1%) | 0.152 | 2 (18.2%) | 1 (9.0%) | 0.999 |
| Results of recipient operation | ||||||
| Arterial complication | 0 | 1 (0.20%) | 0.999 | 0 | 0 | – |
| Delayed graft function | 0 | 1 (0.20%) | 0.999 | 0 | 0 | – |
[table2] .Conclusions Left and right HALDNs were performed efficiently and safely in spite of the surgical histories.
CITATION INFORMATION: Hiramitsu T, Futamura K, Okada M, Tsujita M, Goto N, Narumi S, Watarai Y. A Retrospective Study on the Impact of Abdominal Surgical Histories on Hand-Assisted Laparoscopic Donor Nephrectomy for Living Donor Adult Kidney Transplant. Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:
Hiramitsu T, Futamura K, Okada M, Tsujita M, Goto N, Narumi S, Watarai Y. A Retrospective Study on the Impact of Abdominal Surgical Histories on Hand-Assisted Laparoscopic Donor Nephrectomy for Living Donor Adult Kidney Transplant. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/a-retrospective-study-on-the-impact-of-abdominal-surgical-histories-on-hand-assisted-laparoscopic-donor-nephrectomy-for-living-donor-adult-kidney-transplant/. Accessed November 22, 2024.« Back to 2017 American Transplant Congress