Session Time: 5:30pm-6:30pm
Presentation Time: 5:30pm-6:30pm
Location: Exhibit Hall E
Hand-assisted retroperitoneoscopic (HARP) nephrectomy is a potentially safer approach for the donor where the peritoneum stays intact and tactile sensation remains. The experience with HARP in challenging cases are limited in literature. The purpose of this study is to evaluate the safety of HARP technique in cases with multiple arteries with special emphasis on right-sided kidneys.
HARP nephrectomy was performed to 418 donors at our series between February 2009 and June 2014. 18,6%(n=78) was right donor nephrectomy. The number of donors with multiple arteries and right nephrectomy was 11(14.1%) and left nephrectomy was 53(15.6%). There were three and more arteries in 2 cases at right and 4 at left side. There was one case with double ureter at right side and one case with two renal vein at the left side.
None of the donors had conversion to open DN, readmission or reoperation. The female/male ratio was 7/4 at right and 20/33 at left side.The mean of age and weight was similar in between the two groups. The mean dissection time(incision to complete dissection of the kidney) was 115 min for right and108 min for left.
|Right(n=11) / Left (n=53)||Mean Right / Left||Std. Deviation||Std. Error Mean||P value|
|Donor age||48,91/42,75||14,377 /12,539||4,335 /1,722||0,2|
|Donor BW (kg.)||78,09 /73,57||15,300 /11,265||4,613/1,547||0,3|
|Dissection time /min.)||115,00 /108,25||41,952 /29,620||12,649 /4,069||0,6|
|Total ischemia time(min.)||80,00/ 83,19||25,616 /23,605||7,724/3,242||0,7|
|Recipient age||32,91 /40,81||15,940/11,637||4,806 /1,598||0,06|
|Recipient BW (kg.)||63,55/68,77||18,896/14,177||5,697/1,947||0,4|
|Recipient hospital stay||7,91/8,85||2,700/5,773||0,814/0,793||0,4|
We found that the result of right and left side donor nephrectomy with multiple arteries is same at HARP approach. Avoiding intraperitoneal complications is a quite promising reason to offer retroperitoneoscopic approach even for challenging cases such as right donor nephrectomy with multiple arteries.
To cite this abstract in AMA style:Akin E, Barlas I, Dayangac M, Sinangil A, Celik V, Ecder T. Hand Assisted Retroperitoneoscopic Donor Nephrectomy in Challenging Cases; Right Sided Donor Nephrectomy With Multiple Renal Arteries [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/hand-assisted-retroperitoneoscopic-donor-nephrectomy-in-challenging-cases-right-sided-donor-nephrectomy-with-multiple-renal-arteries/. Accessed September 22, 2019.
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