Hand-assisted laparoscopic donor nephrectomy in kidneys with multiple renal arteries versus a single renal artery: An analysis of vascular complications from 1,350 cases

dc.authoridKocak, Burak/0000-0002-0312-2447
dc.contributor.authorArpali, Emre
dc.contributor.authorKaratas, Cihan
dc.contributor.authorAkyollu, Basak
dc.contributor.authorYaprak, Dogukan
dc.contributor.authorGunaydin, Bilal
dc.contributor.authorKocak, Burak
dc.date.accessioned2024-11-07T13:31:21Z
dc.date.available2024-11-07T13:31:21Z
dc.date.issued2020
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjective: Laparoscopic donor nephrectomy (LDN) has been shown to be a safe approach with better morbidity results. Impact of multiple renal arteries (MRAs) and anatomical variations has been reviewed by many authors. In our study, the relationship between the donors with MRAs and risk of perioperative vascular complications related to donor nephrectomy was investigated. Material and methods: Patients who underwent hand-assisted LDNs between January 2007 and February 2018 were reviewed retrospectively. Patient age, sex, body mass index (BMI), waist circumference, side of donor nephrectomies, donors with MRAs, intraoperative vascular complications, conversion rates, hospitalization durations, and operative times were extracted. Risk factors for perioperative vascular complications were defined. Results: There were MRAs in 288 kidney donors (21.3%). The number of patients who underwent a right donor nephrectomy was 113 (8.4%). BMI, waist circumference, and postoperative hospital stay were not significantly different between donors with one artery and those with MRAs (p>0.05). The renovascular complication rate and overall conversion rate to open surgery were significantly higher in donors with MRAs (p<0.05). Conclusion: Perioperative safety of the kidney donors is of crucial importance. Surgeons performing LDNs must be aware of the potential risks. Our analysis suggests that procurement of kidneys from donors with MRAs is a risk factor for renovascular complications.
dc.identifier.doi10.5152/tud.2020.19280
dc.identifier.endpage319
dc.identifier.issn2149-3235
dc.identifier.issn2149-3057
dc.identifier.issue4
dc.identifier.pmid32449674
dc.identifier.scopus2-s2.0-85087836650
dc.identifier.scopusqualityQ3
dc.identifier.startpage314
dc.identifier.trdizinid380071
dc.identifier.urihttps://doi.org/10.5152/tud.2020.19280
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/380071
dc.identifier.urihttps://hdl.handle.net/11480/14794
dc.identifier.volume46
dc.identifier.wosWOS:000550781400011
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAves
dc.relation.ispartofTurkish Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectHand-assisted laparoscopic donor nephrectomy
dc.subjectmultiple renal arteries
dc.subjectvascular complications
dc.titleHand-assisted laparoscopic donor nephrectomy in kidneys with multiple renal arteries versus a single renal artery: An analysis of vascular complications from 1,350 cases
dc.typeArticle

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