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

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

Research output: Contribution to journalArticle

44 Scopus citations

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 1 2006

Keywords

  • Laparoscopic donor nephrectomy
  • Robotic assisted
  • Vascular anomalies

ASJC Scopus subject areas

  • Transplantation

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