Kidney function in living donors undergoing nephrectomy by sevoflurane or desflurane anesthesia.

Abstract:

PURPOSE:Although there is no clinical evidence of nephrotoxicity with the volatile anesthetics currently used in general anesthesia, a better agent should be needed in terms of preserving postoperative renal function in living kidney donors who have only single remaining kidney. The purpose of the current retrospective, single-center study was to evaluate and compare renal function of living kidney donors after nephrectomy under either sevoflurane or desflurane anesthesia. MATERIALS AND METHODS:From January 2006 through December 2011, a total of 228 donors undergoing video assisted minilaparotomy surgery nephrectomy for kidney donation were retrospectively enrolled in the current study. The donors were categorized into a sevoflurane group or desflurane group based on the type of volatile anesthetic used. We collected laboratory data from the patients preoperatively, immediately after the operation, on the first postoperative day and on the third postoperative day. We also compared renal function of the kidney donors after donor nephrectomy by comparing creatinine level and estimated glomerular filtration rate (eGFR). RESULTS:The decrease in renal function after surgery in both groups was the most prominent on the first postoperative day. There were no significant differences between the two groups in postoperative changes of creatinine or eGFR. CONCLUSION:Sevoflurane and desflurane can be used safely as volatile anesthetics in donors undergoing nephrectomy.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Kim MS,Lee JR,Kim MS,Ham SY,Choi SH

doi

10.3349/ymj.2013.54.5.1266

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

1266-72

issue

5

eissn

0513-5796

issn

1976-2437

pii

2013091266

journal_volume

54

pub_type

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