Abstract:
UNLABELLED:Since the first description by Ratner and collegues in 1996, laparoscopic live-donor nephrectomy is gaining wide acceptance in an attempt to minimize the donor morbidity, length of hospital stay and length of time to return to work. It is unknown whether multiple renal arteries pose additional problems with laparoscopic donor nephrectomy. In November 1998, our institution initiated laparoscopic donor nephrectomy program. In the ensuing 19 months, we performed 25 living donor renal transplants, 24 of them using laparoscopic donor nephrectomy. The left kidney was procured in all cases. Eight donor candidates (33%) had two or more renal arteries (two arteries in five patients and three patients). RESULTS:In six cases (25%), findings at surgery differed from the CT angography results (in four cases, CT angiogram reported fewer arteries than were found at surgery and in two cases it reported more). We found no significant differences in both donor outcomes and recipient, based on the presence or absence of multiple renal arteries. Among donor outcomes, we found equivalent results for donor warm ischemia time total donor operating time, and donor length of stay. For recipient outcomes, we found no significant differences between groups for the incidence of acute tubular necrosis (ATN), graft survival and most recent serum creatinine. In one case, we constructed two arteries into a single conduit on the backtable prior to transplantation. However, in most cases with multiple arteries, we implanted the arteries separately into the recipient external iliac artery. Based on this experience, we do not find the presence of multiple renal arteries to be a barrier to the successful use of kidney grafts procured by laparoscopic donor nephrectomy.
journal_name
Clin Transplantjournal_title
Clinical transplantationauthors
Johnston T,Reddy K,Mastrangelo M,Lucas B,Ranjan Ddoi
10.1034/j.1399-0012.2001.00012.xsubject
Has Abstractpub_date
2001-01-01 00:00:00pages
62-5eissn
0902-0063issn
1399-0012pii
012journal_volume
15 Suppl 6pub_type
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pub_type: 杂志文章,随机对照试验
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更新日期:2015-06-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/ctr.12576
更新日期:2015-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2002-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1399-0012.2008.00837.x
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pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1399-0012.2012.01672.x
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pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
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journal_title:Clinical transplantation
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
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pub_type: 杂志文章,评审
doi:
更新日期:1992-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1399-0012.2009.01060.x
更新日期:2010-05-01 00:00:00
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journal_title:Clinical transplantation
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Clinical transplantation
pub_type: 杂志文章
doi:10.1111/ctr.13466
更新日期:2019-02-01 00:00:00
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journal_title:Clinical transplantation
pub_type: 杂志文章
doi:10.1111/ctr.12758
更新日期:2016-07-01 00:00:00
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journal_title:Clinical transplantation
pub_type: 杂志文章
doi:10.1111/j.1399-0012.2008.00863.x
更新日期:2008-09-01 00:00:00
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journal_title:Clinical transplantation
pub_type: 杂志文章
doi:10.1111/ctr.13027
更新日期:2017-08-01 00:00:00
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journal_title:Clinical transplantation
pub_type: 杂志文章,多中心研究
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更新日期:2019-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/ctr.13836
更新日期:2020-04-01 00:00:00
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journal_title:Clinical transplantation
pub_type: 杂志文章
doi:10.1034/j.1399-0012.2001.150506.x
更新日期:2001-10-01 00:00:00