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A comparison of pre- and post-operative outcomes in living donors undergoing transperitoneal laparoscopic nephrectomy and open nephrectomy: a retrospective single-center study
Keleş, Ahmet; Kaya, Cevdet.
Afiliação
  • Keleş, Ahmet; Istanbul Medeniyet University. School of Medicine. Department of Urology. Uskudar. TR
  • Kaya, Cevdet; Marmara University. School of Medicine. Department of Urology. Istanbul. TR
São Paulo med. j ; 142(3): e2022488, 2024. tab, graf
Article em En | LILACS-Express | LILACS | ID: biblio-1530518
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

BACKGROUND:

Kidney transplantation is often regarded as the preferred therapy for end-stage renal disease. Several surgical procedures have been developed to reduce postoperative donor complications, while maintaining kidney quality.

OBJECTIVE:

This study aimed to compare the preoperative and postoperative outcomes of living kidney donors who underwent either transperitoneal laparoscopic nephrectomy or open nephrectomy. DESIGN AND

SETTING:

Retrospective study conducted in Istanbul, Turkey.

METHODS:

Fifty-five living-related kidney donors underwent nephrectomy and were retrospectively divided into two groups 21 donors who underwent open nephrectomy (Group 1) and 34 donors who underwent transperitoneal laparoscopic nephrectomy (Group 2).

RESULTS:

In comparison to the donors who underwent open nephrectomy, those who underwent transperitoneal laparoscopic nephrectomy had significantly shorter postoperative hospital stays (2.3 ± 0.2 versus 3.8 ± 0.8 days, P = 0.003), duration of urinary catheterization (1.2 ± 0.8 days versus 2.0 ± 0.7 days, P = 0.0001), operating times (210 ± 27 minutes versus 185 ± 24 minutes, P = 0.02), and less blood loss (86 ml versus 142 ml, P = 0.048). There was no statistically significant difference between the two groups with regard to the estimated blood transfusion and warm ischemia time. The preoperative week, first postoperative week, and 1-month postoperative serum creatinine levels were comparable between the groups.

CONCLUSIONS:

Laparoscopic donor nephrectomy can be safely performed at centers with expertise in laparoscopic surgery. Laparoscopic donor nephrectomy has better outcomes than open donor nephrectomy in terms of length of hospital stay, duration of urinary catheterization, operating time, and blood loss.
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Texto completo: 1 Índice: LILACS Tipo de estudo: Observational_studies Idioma: En Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / MEDICINA / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Índice: LILACS Tipo de estudo: Observational_studies Idioma: En Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / MEDICINA / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2024 Tipo de documento: Article