Aims: To evaluate the outcomes of Laparoscopic Donor Nephrectomy (LDN) across 4 BMI groups.

Methods : Using the SRTR database, all LDNs performed between 2006-2015 were divided into Group 1 (BMI< 30 kg/m² ),Group 2(BMI 30-34.9kg/m²),Group 3 (BMI 35-39.9kg/m² ) and Group 4 (BMI > 40kg/m² ). Retrospective analysis was carried out using SPSS software (version 23).

Results: Over a 10 year period, there were 59840 (total 62651 donors) donors who underwent laparoscopic donor nephrectomy. There was 24564 (39.2%) and 38087(60.8%) male and female donors respectively.The number of donors in the 4 groups were 45976 (77%), 11595 (19.4%),1832 (3.1%) and 329 (0.6%) . The mean age at surgery was 41.1 (±11.5) years old. Most donors were non hypertensive (96.4%) and non diabetic (98%). The preferred method of surgery was Hand Assisted Laparoscopic donor nephrectomy (HALDN) in all 4 groups (p <0.05). The overall conversion rate was 1% while the conversion rate was 1.5% in Group 4 (p = 0.05). The most common cause for reoperation was bleeding and bowel obstruction.There is no statistical difference in the reoperation or readmission rate, blood transfusion rate among the 4 groups. The average length of stay for the 4 groups was 3 days. Conclusion: Laparoscopicc donor nephrectomy can be performed safely even in the obses patients . The outcomes are not significantly higher in patients with higher BMI. However, the conversion rates is significantly higher in those with BMI > 40kg/m² .

CITATION INFORMATION: Chia V., Khan F., Newell M., Chen L. J. Laparoscopic Donor Nephrectomy – The BMI Effect Am J Transplant. 2017;17 (suppl 3).

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