Turkish Journal of Urology
TRANSPLANTATION - Original Article

Hand-assisted laparoscopic donor nephrectomy in kidneys with multiple renal arteries versus a single renal artery: An analysis of vascular complications from 1,350 cases

1.

Organ Transplant Center, Koç University Hospital, İstanbul, Turkey

2.

Department of Urology, Niğde Ömer Halis Demir University, Niğde, Turkey

Turk J Urol 2020; 46: 314-319
DOI: 10.5152/tud.2020.19280
Read: 91 Downloads: 33 Published: 31 March 2020

Objective: Laparoscopic donor nephrectomy (LDN) has been shown to be a safe approach with better morbidity results. Impact of multiple renal arteries (MRAs) and anatomical variations has been reviewed by many authors. In our study, the relationship between the donors with MRAs and risk of perioperative vascular complications related to donor nephrectomy was investigated.

Material and methods: Patients who underwent hand-assisted LDNs between January 2007 and February 2018 were reviewed retrospectively. Patient age, sex, body mass index (BMI), waist circumference, side of donor nephrectomies, donors with MRAs, intraoperative vascular complications, conversion rates, hospitalization durations, and operative times were extracted. Risk factors for perioperative vascular complications were defined.

Results: There were MRAs in 288 kidney donors (21.3%). The number of patients who underwent a right donor nephrectomy was 113 (8.4%). BMI, waist circumference, and postoperative hospital stay were not significantly different between donors with one artery and those with MRAs (p>0.05). The renovascular complication rate and overall conversion rate to open surgery were significantly higher in donors with MRAs (p<0.05).

Conclusion: Perioperative safety of the kidney donors is of crucial importance. Surgeons performing LDNs must be aware of the potential risks. Our analysis suggests that procurement of kidneys from donors with MRAs is a risk factor for renovascular complications.

Cite this article as: Arpalı E, Karataş C, Akyollu B, Yaprak D, Günaydın B, Koçak B. Hand-assisted la paroscopic donor nephrectomy in kidneys with multiple renal arteries versus a single renal artery: An analysis of vascular complications from 1,350 cases. Turk J Urol 2020; 46(4): 314-9.

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ISSN2149-3235 EISSN 2149-3057