Hand-assisted laparoscopic donor nephrectomy: 1864 cases in 15 years of experience

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dc.authoridKocak, Burak/0000-0002-0312-2447
dc.authoridUcar, Taha/0000-0002-7684-3632
dc.contributor.authorGunaydin, Bilal
dc.contributor.authorUcar, Taha
dc.contributor.authorArpali, Emre
dc.contributor.authorAkyollu, Basak
dc.contributor.authorAkinci, Serkan
dc.contributor.authorKaratas, Cihan
dc.contributor.authorOztorun, Kenan
dc.date.accessioned2024-11-07T13:34:51Z
dc.date.available2024-11-07T13:34:51Z
dc.date.issued2022
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractBackground/aim: To evaluate hand-assisted laparoscopic donor nephrectomy (HALDN) in terms of intraoperative and postoperative results. Materials and methods: After institutional review board approval was obtained, a total of 1864 HALDN operations performed between March 2007 and January 2022 were retrospectively analyzed. Age, sex, body mass index (BMI), status of smoking and presence of previous abdominal surgery, laterality, operative time, transfusion requirement, port counts, length of extraction incision, time until mobilization, time until oral intake, donor serum creatinine levels before and one week after the surgery, length of postoperative hospital stay, intraoperative complications, and postoperative recovery and complications were recorded and statistically analyzed. Multiple renal arteries, BMI, right nephrectomy and male sex were also separately evaluated as risk factors for complications and operative time. Results: A total of 825 (44.26%) male and 1039 (55.74%) female patients were enrolled in the study. The mean age of the patients was 45.79 +/- 12.88 years. There were a total of 143 complications (7.67% of the total 1864 cases) consisting of 68 (3.65%) intraoperative and 75 (4.02%) postoperative complications. Open conversion was necessary for 10 patients (0.53%) to manage intraoperative complications. Reoperation was needed for 1 patient due to bleeding 6 h after the operation. Multiple renal arteries were a risk factor for intraoperative complications and prolonged operative time. Right nephrectomy and male sex were also related with longer operative times. Conclusions: HALDN is a safe procedure associated with low complication rates.
dc.identifier.doi10.55730/1300-0144.5438
dc.identifier.endpage1328
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue4
dc.identifier.pmid36326419
dc.identifier.scopus2-s2.0-85136829892
dc.identifier.scopusqualityQ3
dc.identifier.startpage1322
dc.identifier.trdizinid1144867
dc.identifier.urihttps://doi.org/10.55730/1300-0144.5438
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1144867
dc.identifier.urihttps://hdl.handle.net/11480/16209
dc.identifier.volume52
dc.identifier.wosWOS:000881194200053
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTubitak Scientific & Technological Research Council Turkey
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectHand-assisted
dc.subjectlaparoscopic
dc.subjectdonor
dc.subjectnephrectomy
dc.subjectcomplication
dc.titleHand-assisted laparoscopic donor nephrectomy: 1864 cases in 15 years of experience
dc.typeArticle

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