+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Vascular constraints in laparoscopic renal allograft: comparative analysis of multiple and single renal arteries in 976 laparoscopic donor nephrectomies



Vascular constraints in laparoscopic renal allograft: comparative analysis of multiple and single renal arteries in 976 laparoscopic donor nephrectomies



World Journal of Surgery 35(9): 2159-2166



Since the initial description of laparoscopic donor nephrectomy (LDN) in 1995, the field of renal transplantation has continued to evolve. Although the identification of donor kidneys with multiple renal arteries (MRA) was considered a contraindication to LDN, improvement in the surgical technique to surmount the technical challenges of LDN with MRA have been established as the skill and laparoscopic experience of transplant surgeons evolves with time. Consensus regarding LDN with MRA and recipient outcomes is not uniformly documented amongst the transplant community. A retrospective analysis of 976 patients who underwent LDN at our institution from January 1999 to August 2009 was performed. Patients were grouped based on the number of arteries and the data were compared with respect to patient demographics, operative characteristics, postoperative course and complications. The two donor groups had comparable outcomes except for operative time, which was significantly prolonged in patients with MRA kidneys when compared to a single renal artery (SRA) kidney (P < 0.01). 1-, 3-year and estimated overall graft survival for the MRA recipient kidneys was significantly inferior when compared to SRA recipient kidneys. Our decade long experience with LDN demonstrates that operative times for MRA kidneys are longer than for SRA kidneys, however complication rates are similar. Laparoscopic donor nephrectomy with MRA is a safe and effective procedure for living kidney donation; however, the recipient graft outcomes with MRA kidneys warrant appropriate preoperative counseling of recipients.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036138488

Download citation: RISBibTeXText

PMID: 21713578

DOI: 10.1007/s00268-011-1168-6


Related references

Recipient outcomes of dual and multiple renal arteries following 1000 consecutive laparoscopic donor nephrectomies at a single institution. Clinical Transplantation 27(2): 261-266, 2013

Outcome of renal transplantation with multiple versus single renal arteries after laparoscopic live donor nephrectomy: a comparative study. Urology 69(5): 824-827, 2007

Equivalent renal allograft function with laparoscopic versus open liver donor nephrectomies. Transplantation Proceedings 31(1-2): 258-260, Feb -March, 1999

Management of renal allografts with multiple renal arteries resulting from laparoscopic living donor nephrectomy. Clinical Transplantation 17(4): 353-357, 2003

Laparoscopic living donor nephrectomy in patients with multiple renal arteries or anomalous renal veins. Journal of Urology 171(4 Suppl.): 515, 2004

How safe and effective is routine left hand-assisted laparoscopic donor nephrectomy with multiple renal arteries? A high-volume, single-center experience. Transplantation Proceedings 44(10): 2913-2917, 2012

Multiple renal arteries in laparoscopic donor nephrectomy. Annals of Transplantation 10(2): 34-37, 2005

Laparoscopic living donor nephrectomy and multiple renal arteries. American Journal of Surgery 176(6): 559-563, 1998

Do multiple renal arteries restrict laparoscopic donor nephrectomy?. Transplantation Proceedings 36(1): 105-107, 2004

Multiple renal arteries challenge in laparoscopic donor nephrectomy: how far can we go?. Journal of the Korean Surgical Society 80(4): 272-277, 2011

Results and complications of 50 laparoscopic nephrectomies for live donor renal transplantation. Transplantation Proceedings 37(9): 3673-3675, 2006

Outcomes of laparoscopic donor nephrectomy in the presence of multiple renal arteries. Urology Annals 3(2): 62-65, 2011

Multiple renal arteries is not a contraindication for laparoscopic living donor nephrectomy. Journal of Endourology 13(Suppl. 1): A126, 1999

Living donor kidney transplantation with multiple renal arteries in the laparoscopic era. Urology 77(5): 1116-1121, 2011

Early outcomes of laparoscopic donor nephrectomy with multiple renal arteries. International Braz J Urol 38(4): 496-503, 2013