Is a High Body Mass Index Still a Risk Factor for Complications of Donor Nephrectomy?

Abstract:

BACKGROUND AND AIM:The incidence of obesity is increasing all around the world and Turkey is no exception. In Turkey, 80.1% of all kidney transplants performed in 2013 were living donor kidney transplants. In this study we compare the early postoperative complications of living kidney donors with a body mass index (BMI) over 30 to those with BMIs under 30. PATIENTS AND METHOD:All donor nephrectomies performed at the Ege University School of Medicine Hospital between May 2013 and May 2014 were included in the study. Donors' demographics, preoperative BMI, operation time, length of hospital stay, postoperative complications, and perioperative blood creatinine levels were analyzed. RESULTS:There were a total of 72 donors, 50 of whom had a BMI below 30 (group 1), whereas 22 had a BMI of 30 or higher (Group 2). The median age was 47 (±12.6) and 52.2 (±8.4) for Groups 1 and 2, respectively. The median BMI was 26.1 (±2.3) for Group 1 and 31.8 (±1.5) for Group 2. There was no significant difference in operation time (P = .980) between the 2 groups. There was no difference in the length of hospitalization with an average hospital stay of 3 days for both groups. No major complications were observed in either group. There was no difference in minor complication rates for both groups. CONCLUSION:High BMI donors can safely donate their kidney with no significant increase in complication rates at high-volume transplantation centers.

journal_name

Transplant Proc

authors

Uguz A,Unsal MG,Unalp OV,Sezer T,Celtik A,Sozbilen M,Toz H,Hoscoskun C

doi

10.1016/j.transproceed.2015.04.061

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1291-3

issue

5

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(15)00386-3

journal_volume

47

pub_type

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