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doi:10.22028/D291-37914
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 |
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