+ 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

Evaluating graft function in pediatric recipients for living donor renal transplantation: Is laparoscopic donor nephrectomy safe?

Evaluating graft function in pediatric recipients for living donor renal transplantation: Is laparoscopic donor nephrectomy safe?

Indian Journal of Urology 25(2): 195-198

To evaluate the surgical and functional outcomes of laparoscopic graft procurement in pediatric patients undergoing renal transplantation. A retrospective chart review of the cohort records of 54 pediatric living donor renal transplant recipients from 1985 through June 2006 was performed. We compared results of laparoscopic donor nephrectomy (LDN, n = 15) and open donor nephrectomy (ODN, n = 39). Parameters analysed included donor technique and morbidity, operative complications, immediate postoperative renal function, the incidence of early and delayed graft function, and long-term graft survival. The mean age of these recipients was 14.8 years (5-18) in the LDN group and 13.9 years (8-18) in ODN group. Serum creatinine (mg/dl) was 1.5 +/- 0.7 vs 1.8 +/- 1.3 at day 1 (P = 0.20), 1.0 +/- 0.3 vs 1.4 +/- 1.3 at day 2 (P = 0.12), 1.1 +/- 0.9 vs 1.3 +/- 1.0 at day 7 (P = 0.25), 1.2 +/- 0.5 vs 1.6 +/- 1.8 (P = 0.20) at day 14, 1.1 +/- 0.7 vs 1.2 +/- 1.4 (P = 0.39) at 1 month in LDN vs ODN groups, respectively. Early graft function was 35.7 vs 46.4% in the respective groups. There were two delayed graft function and one graft nonfunction in ODN group. Over all graft and patient survival at 1 year was 86.67 and 82.22% (P = 0.34) in LDN and ODN groups, respectively. Pediatric recipients of the LDN grafts have outcomes comparable to those of ODN graft recipients. Laparoscopic donor nephrectomy is safe and efficacious for graft procurement for pediatric recipients.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 053056060

Download citation: RISBibTeXText

PMID: 19672345

Related references

Early and late recipient graft function and donor outcome after laparoscopic vs open adult live donor nephrectomy for pediatric renal transplantation. Archives of Surgery 137(8): 908, 2002

Early and late graft function after laparoscopic hand-assisted donor nephrectomy for living kidney transplantation: comparison with open donor nephrectomy. Urologia Internationalis 84(1): 61-66, 2010

Long-term outcomes of living donor kidney transplants in pediatric recipients following laparoscopic vs. open donor nephrectomy. Pediatric Transplantation 16(8): 894-900, 2012

Early graft function in kidney transplantation: comparison between laparoscopic donor nephrectomy and open donor nephrectomy. Transplantation Proceedings 40(3): 685-686, 2008

Renal vein extension during living-donor kidney transplantation in the era of hand-assisted laparoscopic living-donor nephrectomy. Transplantation 99(4): 786-790, 2015

Outcomes of pediatric living donor renal transplant after laparoscopic versus open donor nephrectomy. Transplantation Proceedings 34(8): 3097-3098, 2002

Laparoscopic live donor left lateral sectionectomy is safe and feasible for pediatric living donor liver transplantation. Hepato-Gastroenterology 59(120): 2445-2449, 2013

Does preserved kidney volume predict 1 year donor renal function after laparoscopic living donor nephrectomy?. International Journal of Urology 20(9): 931-934, 2013

Laparoscopic versus open renal procurement for pediatric recipients of living donor renal transplantation. American Journal of Transplantation 5(10): 2514-2520, 2005

Laparoscopic versus open renal procurement in pediatric recipients for living donor renal transplantation. 2007

Expanding the Living Donor Pool "Second Act": Laparoscopic Donor Nephrectomy and ABO-Incompatible Kidney Transplantation Improve Donor Recruitment. Transplantation Proceedings 47(7): 2126-2129, 2015

Impact of laparoscopic donor nephrectomy on allograft function in pediatric renal transplant recipients: a single-center report. Pediatric Transplantation 10(3): 354-357, 2006

Comparison of renal function recovery in donor and recipient after living donor nephrectomy: Hand-assisted laparoscopic vs. open procedures. European Urology Suppl.s 7(3): 195, 2008

The impact of donor-to-recipient gender match and mismatch on the renal function of living donor renal graft recipients. Gaceta Medica de Mexico 152(5): 645-650, 2016

Effect of donor age on graft function and long-term survival of recipients undergoing living donor liver transplantation. Hepatobiliary and Pancreatic Diseases International 14(1): 50-55, 2015