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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kitada, H. Doi, A. Nishiki, T. Miura, Y. Kurihara, K. Kawanami, S. Tanaka, M. |
| Description | Country affiliation: Japan Author Affiliation: Kitada H ( Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University, Fukuoka, Japan. hide@surg1.med.kyushu-u.ac.jp) |
| Abstract | OBJECTIVE: Kidney grafts with multiple renal arteries (MRAs) are not uncommon, but they do make transplantation more difficult. Laparoscopic graft nephrectomy has become the standard; however, the safety and reliability must be maintained for both a donor and a recipient even in case of MRAs. This study evaluated the short-term outcomes of living donor renal transplant using grafts with MRAs procured by laparoscopic nephrectomy. PATIENTS AND METHODS: This study reviewed all living donor kidney transplantations performed from January 2008 to June 2009, which were divided into 3 groups according to the number of renal graft arteries. The serum creatinine level, warm ischemic time (WIT), rewarming time, total ischemic time (TIT), operative time, acute rejection episodes, and complications in each group were evaluated. RESULTS: The serum creatinine level showed no difference among the groups. Longer TIT was observed in the MRAs group, but WIT and rewarming time did not differ. The acute rejection rate was not different. There were no vessel complications in any donors and recipients. CONCLUSION: Harvesting kidney grafts with MRAs by laparoscopic nephrectomy requires a longer TIT; however, transplantation can be performed safely and reliably for both donors and recipients. |
| File Format | HTM / HTML |
| ISSN | 00411345 |
| Issue Number | 7 |
| Volume Number | 42 |
| e-ISSN | 18732623 |
| Journal | Transplantation Proceedings |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2010-09-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Transplantation__semicolon__medicine Kidney Transplantation Methods Laparoscopy Living Donors Nephrectomy Renal Artery Surgery Adolescent Adult Aged Anastomosis, Surgical Child Child, Preschool Creatinine Blood Graft Rejection Epidemiology Humans Iliac Artery Immunosuppressive Agents Therapeutic Use Immunology Standards Middle Aged Retrospective Studies Safety Tissue And Organ Harvesting Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Transplantation Surgery |
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