Routine left robotic-assisted laparoscopic donor nephrectomy is safe and effective regardless of the presence of vascular anomalies

Verónica Gorodner, Santiago Horgan, Carlos A Galvani, Antonio Manzelli, José Oberholzer, Howard Sankary, Giuliano Testa, Enrico Benedetti

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

The classic approach to donor nephrectomy consists of preferential procurement of the kidney without vascular anomalies. We studied the effect of routine procurement of the left kidney regardless the presence of multiple arteries on the outcomes of robotic-assisted laparoscopic living donor nephrectomy (LLDN) with particular reference to the incidence of urological complications. From August 2000 to July 2005, 209 left LLDNs were performed. We analyzed the outcomes of donors and recipients in relation to the presence of multiple vessels versus normal anatomy. We divided the patients into two groups: group A (n = 148) with normal vascular anatomy and group B (n = 61) with vascular anomalies. In the donors, no significant difference in conversion to open surgery rate, blood loss, length of stay, was noted between the two groups; operative time and warm ischemia time were slightly higher in group B. One-year patient survival was 98% in both groups while the 1-year graft survival was 96.6% in group A and 96% in group B. Only one urological complication was noted in the group with normal anatomy (0.7%) versus none in the group with multiple arteries. Left kidney procurement using robotic-assisted laparoscopic technique is safe and effective, even in the presence of vascular anomalies.

Original languageEnglish (US)
Pages (from-to)636-640
Number of pages5
JournalTransplant International
Volume19
Issue number8
DOIs
StatePublished - Aug 2006
Externally publishedYes

Fingerprint

Robotics
Nephrectomy
Blood Vessels
Tissue Donors
Anatomy
Kidney
Arteries
Conversion to Open Surgery
Warm Ischemia
Living Donors
Graft Survival
Operative Time
Length of Stay
Survival
Incidence

Keywords

  • Laparoscopic donor nephrectomy
  • Robotic assisted
  • Vascular anomalies

ASJC Scopus subject areas

  • Transplantation

Cite this

Routine left robotic-assisted laparoscopic donor nephrectomy is safe and effective regardless of the presence of vascular anomalies. / Gorodner, Verónica; Horgan, Santiago; Galvani, Carlos A; Manzelli, Antonio; Oberholzer, José; Sankary, Howard; Testa, Giuliano; Benedetti, Enrico.

In: Transplant International, Vol. 19, No. 8, 08.2006, p. 636-640.

Research output: Contribution to journalArticle

Gorodner, Verónica ; Horgan, Santiago ; Galvani, Carlos A ; Manzelli, Antonio ; Oberholzer, José ; Sankary, Howard ; Testa, Giuliano ; Benedetti, Enrico. / Routine left robotic-assisted laparoscopic donor nephrectomy is safe and effective regardless of the presence of vascular anomalies. In: Transplant International. 2006 ; Vol. 19, No. 8. pp. 636-640.
@article{85aa9fd509234e98a1463997b0e77f6c,
title = "Routine left robotic-assisted laparoscopic donor nephrectomy is safe and effective regardless of the presence of vascular anomalies",
abstract = "The classic approach to donor nephrectomy consists of preferential procurement of the kidney without vascular anomalies. We studied the effect of routine procurement of the left kidney regardless the presence of multiple arteries on the outcomes of robotic-assisted laparoscopic living donor nephrectomy (LLDN) with particular reference to the incidence of urological complications. From August 2000 to July 2005, 209 left LLDNs were performed. We analyzed the outcomes of donors and recipients in relation to the presence of multiple vessels versus normal anatomy. We divided the patients into two groups: group A (n = 148) with normal vascular anatomy and group B (n = 61) with vascular anomalies. In the donors, no significant difference in conversion to open surgery rate, blood loss, length of stay, was noted between the two groups; operative time and warm ischemia time were slightly higher in group B. One-year patient survival was 98{\%} in both groups while the 1-year graft survival was 96.6{\%} in group A and 96{\%} in group B. Only one urological complication was noted in the group with normal anatomy (0.7{\%}) versus none in the group with multiple arteries. Left kidney procurement using robotic-assisted laparoscopic technique is safe and effective, even in the presence of vascular anomalies.",
keywords = "Laparoscopic donor nephrectomy, Robotic assisted, Vascular anomalies",
author = "Ver{\'o}nica Gorodner and Santiago Horgan and Galvani, {Carlos A} and Antonio Manzelli and Jos{\'e} Oberholzer and Howard Sankary and Giuliano Testa and Enrico Benedetti",
year = "2006",
month = "8",
doi = "10.1111/j.1432-2277.2006.00315.x",
language = "English (US)",
volume = "19",
pages = "636--640",
journal = "Transplant International",
issn = "0934-0874",
publisher = "Wiley-Blackwell",
number = "8",

}

TY - JOUR

T1 - Routine left robotic-assisted laparoscopic donor nephrectomy is safe and effective regardless of the presence of vascular anomalies

AU - Gorodner, Verónica

AU - Horgan, Santiago

AU - Galvani, Carlos A

AU - Manzelli, Antonio

AU - Oberholzer, José

AU - Sankary, Howard

AU - Testa, Giuliano

AU - Benedetti, Enrico

PY - 2006/8

Y1 - 2006/8

N2 - The classic approach to donor nephrectomy consists of preferential procurement of the kidney without vascular anomalies. We studied the effect of routine procurement of the left kidney regardless the presence of multiple arteries on the outcomes of robotic-assisted laparoscopic living donor nephrectomy (LLDN) with particular reference to the incidence of urological complications. From August 2000 to July 2005, 209 left LLDNs were performed. We analyzed the outcomes of donors and recipients in relation to the presence of multiple vessels versus normal anatomy. We divided the patients into two groups: group A (n = 148) with normal vascular anatomy and group B (n = 61) with vascular anomalies. In the donors, no significant difference in conversion to open surgery rate, blood loss, length of stay, was noted between the two groups; operative time and warm ischemia time were slightly higher in group B. One-year patient survival was 98% in both groups while the 1-year graft survival was 96.6% in group A and 96% in group B. Only one urological complication was noted in the group with normal anatomy (0.7%) versus none in the group with multiple arteries. Left kidney procurement using robotic-assisted laparoscopic technique is safe and effective, even in the presence of vascular anomalies.

AB - The classic approach to donor nephrectomy consists of preferential procurement of the kidney without vascular anomalies. We studied the effect of routine procurement of the left kidney regardless the presence of multiple arteries on the outcomes of robotic-assisted laparoscopic living donor nephrectomy (LLDN) with particular reference to the incidence of urological complications. From August 2000 to July 2005, 209 left LLDNs were performed. We analyzed the outcomes of donors and recipients in relation to the presence of multiple vessels versus normal anatomy. We divided the patients into two groups: group A (n = 148) with normal vascular anatomy and group B (n = 61) with vascular anomalies. In the donors, no significant difference in conversion to open surgery rate, blood loss, length of stay, was noted between the two groups; operative time and warm ischemia time were slightly higher in group B. One-year patient survival was 98% in both groups while the 1-year graft survival was 96.6% in group A and 96% in group B. Only one urological complication was noted in the group with normal anatomy (0.7%) versus none in the group with multiple arteries. Left kidney procurement using robotic-assisted laparoscopic technique is safe and effective, even in the presence of vascular anomalies.

KW - Laparoscopic donor nephrectomy

KW - Robotic assisted

KW - Vascular anomalies

UR - http://www.scopus.com/inward/record.url?scp=33745699601&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745699601&partnerID=8YFLogxK

U2 - 10.1111/j.1432-2277.2006.00315.x

DO - 10.1111/j.1432-2277.2006.00315.x

M3 - Article

C2 - 16827680

AN - SCOPUS:33745699601

VL - 19

SP - 636

EP - 640

JO - Transplant International

JF - Transplant International

SN - 0934-0874

IS - 8

ER -