Bitte benutzen Sie diese Referenz, um auf diese Ressource zu verweisen: doi:10.22028/D291-37914
Volltext verfügbar? / Dokumentlieferung
Titel: Does the Side Matter? A Retrospective Cohort Study Comparing Left and Right Pure Laparoscopic Donor Nephrectomies
VerfasserIn: Zeuschner, Philip
Stöckle, Michael
Peters, Robert
Miller, Kurt
Liefeldt, Lutz
Halleck, Fabian
Budde, Klemens
Hennig, Linda
Friedersdorff, Frank
Sprache: Englisch
Titel: Urologia Internationalis
Bandnummer: 105
Heft: 11-12
Seiten: 1076–1084
Verlag/Plattform: Karger
Erscheinungsjahr: 2021
Freie Schlagwörter: Living kidney donation
Laparoscopic donor nephrectomy
Minimally invasive surgery
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: Objectives: Right laparoscopic donor nephrectomy (RLDN) is no longer regarded inferior to left LDN (LLDN). However, this knowledge is based on many studies suffering from inherent learning curves, center-specific imbalances, and different laparoscopic techniques. Methods: Pure LDNs at a high-volume referral center from 2011 to 2016 were retrospectively analyzed. Patient, graft characteristics, outcomes of LDNs, and corresponding open kidney transplantations were compared between LLDN and RLDN including a follow-up. Results: 160 (78.4%) LLDNs and 44 (21.6%) RLDNs only differed regarding graft characteristics, as more right grafts had multiple veins (34.1 vs. 6.9%, p < 0.001) and worse scintigraphic function (44 vs. 51%, p < 0.001). RLDNs were shorter (201 vs. 220 min, p = 0.032) with longer warm ischemia time (165 vs. 140 s, p < 0.001), but left grafts were transplanted faster (160 vs. 171 min, p = 0.048). Recipients of right kidneys had more postoperative complications (grade 3: 25.6 vs. 11.3%, p = 0.020). At a follow-up of 45 (range 6–79) months, neither the kidney function, nor death-censored graft (5-year: LLDN 89 vs. 92%, p = 0.969) and patient survival (5-year: LLDN 95 vs. 98%, p = 0.747) differed. Conclusions: Pure LLDN and RLDN can have different outcomes at high-volume centers, especially higher complications for recipients of right grafts. However, long-term function and graft survival are the same irrespective of the chosen side.
DOI der Erstveröffentlichung: 10.1159/000517882
URL der Erstveröffentlichung: https://www.karger.com/Article/FullText/517882
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-379149
hdl:20.500.11880/34280
http://dx.doi.org/10.22028/D291-37914
ISSN: 1423-0399
0042-1138
Datum des Eintrags: 9-Nov-2022
Bezeichnung des in Beziehung stehenden Objekts: Supplementary Material
In Beziehung stehendes Objekt: https://karger.figshare.com/ndownloader/files/29064759
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Urologie und Kinderurologie
Professur: M - Prof. Dr. Michael Stöckle
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

Dateien zu diesem Datensatz:
Es gibt keine Dateien zu dieser Ressource.


Alle Ressourcen in diesem Repository sind urheberrechtlich geschützt.