ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Retroperitoneal versus Intraperitoneal Hand Assisted Laparoscopic Donor Nephrectomy: A Case Matched Study.

Z. Ahmed, M. Sait, R. Tamburrini, R. Uwechue, P. Chandak, N. Kessaris, N. Mamode.

Abdominal Transplant Unit, Guy's Hospital, London, United Kingdom.

Meeting: 2016 American Transplant Congress

Abstract number: C157

Keywords: Kidney

Session Information

Date: Monday, June 13, 2016

Session Name: Poster Session C: Kidney Donor Evaluation and Donor Nephrectomy

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Halls C&D

Related Abstracts
  • Incisional Herniation Following Hand Assisted Laparoscopic Donor Nephrectomy: Incidence, Impact and Aetiology
  • Establishing a Learning Curve for Laparoscopic Living Donor Nephrectomy.

Although hand assisted laparoscopic donor nephrectomy (HALDN) has become a standard of care for living kidney procurement in most centres it is not clear if a retroperitoneal approach offers any advantage over an intraperitoneal approach. Recent RCT data has been published on the subject but the results have been biased by small patient numbers and significant demographic and operative heterogeneity between groups. We therefore conducted a case matched study of retroperitoneal versus intraperitoneal HALDN.

Methods:

61 retroperitoneal HALDNs were matched 2:1 with 122 intraperitoneal HALDNs for age, sex, laterality, multiplicity of arteries and obesity status (BMI > 30) characteristics using a propensity matching score approach using Stata SE 12. Outcomes assessed were Clavien grade 2, 3 and 4 complications, infective episodes, readmission, need for reoperation, postoperative hospital stay, creatinine change at Day 30 and development of incisional hernia.

Results: The mean age of the cohort was 44.1 years (SD11) with 52.5% female. The mean length of surgery was greater in the retroperitoneal cohort (225 mins v 200 mins, p=0.001). Hospital stay (4.2 v 3.9 days p=0.11) and readmission rates (9.1 v 9.6% p=0.12) were similar. Incidence of postoperative surgical site infection (9.9% v 10.1% p=0.1) and the occurrence of minor complications (Clavien 2) were also equivalent (16.3 v 17.3% p=0.45). The abdominal reoperation rate was lower in the retroperitoneal group (1.6% v 3.3% p=0.009) as was the rate of incisional hernia development at one year (0% v 5% p=0.08). Day 2 peak CRP levels were less in the retroperitoneal group (111 v 123 p=0.035). Creatinine rise at day 30 was similar (+34 v +37 p =0.35).

Discussion:

Retroperitoneal HALDN has similar minor complication outcomes compared to the intraperitoneal approach with similar lengths of hospital stay and readmission rates. However there is evidence from this study that it may exhibit a reduced systemic inflammatory response (as measured by Day 2 CRP) and also reduce more serious surgical complications thereby reducing the need for reoperation and ultimately reducing the overall donor morbidity burden.

CITATION INFORMATION: Ahmed Z, Sait M, Tamburrini R, Uwechue R, Chandak P, Kessaris N, Mamode N. Retroperitoneal versus Intraperitoneal Hand Assisted Laparoscopic Donor Nephrectomy: A Case Matched Study. Am J Transplant. 2016;16 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Ahmed Z, Sait M, Tamburrini R, Uwechue R, Chandak P, Kessaris N, Mamode N. Retroperitoneal versus Intraperitoneal Hand Assisted Laparoscopic Donor Nephrectomy: A Case Matched Study. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/retroperitoneal-versus-intraperitoneal-hand-assisted-laparoscopic-donor-nephrectomy-a-case-matched-study/. Accessed February 26, 2021.

« Back to 2016 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
      • Penis Transplantation: First U.S. Experience.
      • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
      • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
      • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
      • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

      Visit Our Partner Sites

      American Transplant Congress (ATC)

      Visit the official site for the American Transplant Congress »

      American Journal of Transplantation

      The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

      American Society of Transplantation (AST)

      An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

      American Society of Transplant Surgeons (ASTS)

      The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

      Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

      Privacy Policy

      loading Cancel
      Post was not sent - check your email addresses!
      Email check failed, please try again
      Sorry, your blog cannot share posts by email.
      This site uses cookies: Find out more.