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

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dc.contributor.authorSchwartz, Fides R
dc.contributor.authorShaw, Brian I
dc.contributor.authorLerebours, Reginald
dc.contributor.authorVernuccio, Federica
dc.contributor.authorRigiroli, Francesca
dc.contributor.authorGonzalez, Fernando
dc.contributor.authorLuo, Sheng
dc.contributor.authorRege, Aparna S
dc.contributor.authorVikraman, Deepak
dc.contributor.authorHurwitz-Koweek, Lynne
dc.contributor.authorMarin, Daniele
dc.contributor.authorRavindra, Kadiyala
dc.date.accessioned2021-10-27T14:14:57Z
dc.date.available2021-10-27T14:14:57Z
dc.date.issued2020
dc.description.abstractThis 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.es
dc.identifier.citationAmerican journal of transplantation 2020 Mar;20(3):752-760es
dc.identifier.urihttps://doi.org/10.1111/ajt.15608es
dc.identifier.urihttp://hdl.handle.net/11447/4948
dc.language.isoen_USes
dc.subjectclinical research / practicees
dc.subjectdiagnostic techniques and imaginges
dc.subjectcomputed tomographyes
dc.subjectdonor nephrectomyes
dc.subjectdonors and donationes
dc.subjectdonor evaluationes
dc.subjectglomerular filtration rate (GFR)es
dc.subjecthealth services and outcomes researches
dc.subjectkidney transplantation / nephrologyes
dc.subjectkidney transplantation: living donores
dc.subjectorgan transplantation in generales
dc.titleCorrelation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomyes
dc.typeArticlees

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