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Correlation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomy.

Publication ,  Journal Article
Schwartz, FR; Shaw, BI; Lerebours, R; Vernuccio, F; Rigiroli, F; Gonzalez, F; Luo, S; Rege, AS; Vikraman, D; Hurwitz-Koweek, L; Marin, D; Ravindra, K
Published in: Am J Transplant
March 2020

This study aimed to understand the relationship of preoperative measurements and risk factors on operative time and outcomes of laparoscopic donor nephrectomy. Two hundred forty-two kidney donors between 2010 and 2017 were identified. Patients' demographic, anthropomorphic, and operative characteristics were abstracted from the electronic medical record. Glomerular filtration rates (GFR) were documented before surgery, within 24 hours, 6, 12, and 24 months after surgery. Standard radiological measures and kidney volumes, and subcutaneous and perinephric fat thicknesses were assessed by three radiologists. Data were analyzed using standard statistical measures. There was significant correlation between cranio-caudal and latero-lateral diameters (P < .0001) and kidney volume. The left kidney was transplanted in 92.6% of cases and the larger kidney in 69.2%. Kidney choice (smaller vs. larger) had no statistically significant impact on the rate of change of donor kidney function over time adjusting for age, sex and race (P = .61). Perinephric fat thickness (+4.08 minutes) and surgery after 2011 were significantly correlated with operative time (P ≤ .01). In conclusion, cranio-caudal diameters can be used as a surrogate measure for volume in the majority of donors. Size may not be a decisive factor for long-term donor kidney function. Perinephric fat around the donor kidney should be reported to facilitate operative planning.

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Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

March 2020

Volume

20

Issue

3

Start / End Page

752 / 760

Location

United States

Related Subject Headings

  • Tissue and Organ Harvesting
  • Surgery
  • Retrospective Studies
  • Nephrectomy
  • Living Donors
  • Laparoscopy
  • Kidney Transplantation
  • Kidney
  • Humans
  • Glomerular Filtration Rate
 

Citation

APA
Chicago
ICMJE
MLA
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Schwartz, F. R., Shaw, B. I., Lerebours, R., Vernuccio, F., Rigiroli, F., Gonzalez, F., … Ravindra, K. (2020). Correlation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomy. Am J Transplant, 20(3), 752–760. https://doi.org/10.1111/ajt.15608
Schwartz, Fides R., Brian I. Shaw, Reginald Lerebours, Federica Vernuccio, Francesca Rigiroli, Fernando Gonzalez, Sheng Luo, et al. “Correlation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomy.Am J Transplant 20, no. 3 (March 2020): 752–60. https://doi.org/10.1111/ajt.15608.
Schwartz FR, Shaw BI, Lerebours R, Vernuccio F, Rigiroli F, Gonzalez F, et al. Correlation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomy. Am J Transplant. 2020 Mar;20(3):752–60.
Schwartz, Fides R., et al. “Correlation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomy.Am J Transplant, vol. 20, no. 3, Mar. 2020, pp. 752–60. Pubmed, doi:10.1111/ajt.15608.
Schwartz FR, Shaw BI, Lerebours R, Vernuccio F, Rigiroli F, Gonzalez F, Luo S, Rege AS, Vikraman D, Hurwitz-Koweek L, Marin D, Ravindra K. Correlation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomy. Am J Transplant. 2020 Mar;20(3):752–760.
Journal cover image

Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

March 2020

Volume

20

Issue

3

Start / End Page

752 / 760

Location

United States

Related Subject Headings

  • Tissue and Organ Harvesting
  • Surgery
  • Retrospective Studies
  • Nephrectomy
  • Living Donors
  • Laparoscopy
  • Kidney Transplantation
  • Kidney
  • Humans
  • Glomerular Filtration Rate