ARTIcLE INFO _________________________________________________________ ___________________Purpose: We evaluated our experience with laparoscopic donor nephrectomy in patients with multiple renal arteries, comparing operative outcomes and early graft function with patients with a single renal artery.
Materials and Methods:From January 2003 to February 2009, 130 patients underwent laparoscopic donor nephrectomy at our institution, 108 (83%) with a single renal artery and 22 (17%) with multiple arteries. Donor and recipient outcomes for single artery and multiple arteries allografts were compared. Results: The LDN operative time was similar between the single artery and multiple arteries groups (162 vs 163 min, respectively, p = 0.87). Allografts with multiple arteries had significantly longer warm ischemia time (3.9 vs 4.9 min, p = 0.05) and cold ischemia time (72 vs 94 min, p < 0.001) than those with single artery. The conversion rate was similar between single and multiple arteries groups (6% vs 4.5%, respectively, p = 0.7). Multiple arteries grafts had a non statistically significant higher rate of poor graft function when compared to single artery grafts (23% vs 12%, respectively, p = 0.18). Five patients in the single artery group (4.6%) and one patient in the multiple arteries group (4.5%) needed dialysis during the first postoperative week. Overall, recipient complication rates were similar between single and multiple arteries groups (12.9% vs 18.1%, respectively, p = 0.51). Conclusion: Laparoscopic donor nephrectomy with multiple arteries was associated with a non statistically significant higher rate of poor early graft function. The procedure appears to be safe in patients with multiple arteries, with similar complications rates. Multiple arteries should not be a contraindication for laparoscopic donor nephrectomy.
21 cases, transperitoneal approach plus retroperitoneal balloon dilation in 2, and retroperitoneal approach in 1. The median operative time and blood loss were 206 minutes (range, 73-513) and 10 mL (range, 0-1,020), respectively. No patient required blood transfusion or conversion to open surgery. Pathological examination revealed paraganglioma in 11, ganglioneuroma in 7, and schwannoma in 6. At the last follow-up, 22 patients were free of disease, while one patient developed metastatic recurrence of paraganglioma. A review of the records revealed several tips, including taping the vena cava/ renal vein (n¼2) for tumor dissection or rotating the kidney to approach the tumor behind renal hilum (n¼2). In several cases, 3D-CT was helpful for preoperative planning.CONCLUSIONS: Laparoscopic resection of paraaortic or paracaval neurogenic tumors is feasible. Surgeons should be familiar with dissection around great vessels and the mobilization of adjacent organs. Careful preoperative planning, including 3D-CT, is important.
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