Korean J Urol.  2008 May;49(5):443-448. 10.4111/kju.2008.49.5.443.

Feasibility and Safety of Performing Hand-assisted Laparoscopic Donor Nephrectomy for Patients with Multiple Renal Arteries

• Choi HW
• Jung JW
• Jung JU
• Cho HJ
• Hong SH
• Kim JC
• Park YH
• Hwang TK

• KMID: 1204526
• DOI: http://doi.org/10.4111/kju.2008.49.5.443

Abstract

PURPOSE: We wanted to present the feasibility and safety of hand-assisted laparoscopic donor nephrectomy(HALDN) for treating patients with multiple renal arteries.
MATERIALS AND METHODS
Between February 2000 and July 2006, 252 patients underwent HALDN. The results for the patients with a single renal artery (n=187)(Group I) and those patients with multiple renal arteries(n=65) (Group II) were compared in terms of the donor and recipient outcomes. A retrospective chart review was performed and statistical analysis included Student's t-test, the chi square test and Kaplan-Meier survival probability analysis.
RESULTS
HALDN was technically successful in 251 patients(1 patient had to be converted to open donor nephrectomy). The operative times were increased in group II, but the differences between the groups were not statistically significant. The warm ischemic times were significantly longer in group II. The intraoperative blood loss, postoperative hospital stay and complication rate in the donor group were not associated with the number of renal arteries. The recipients' renal function and overall graft survival were similar between groups I and II.
CONCLUSIONS
In our single-center study, the presence of renal artery multiplicity when performing HALDN does not have a significant impact on the outcomes of the renal donors or recipients.

Keyword

Kidney transplantation; Laparoscopy; Living donors; Hand; Renal artery

Figure

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  Fig. 1 Overall survival probabilities of the graft kidneys. Thin line: Group I, Thick line: Group II, *p=0.672 using the log-rank test, 0.891 using the Breslow test.

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