Premium
Impact of laparoscopic donor nephrectomy on allograft function in pediatric renal transplant recipients: A single‐center report
Author(s) -
Baqi Noosha,
Stock Jeffrey,
Lombardo Salvatore A.,
Geffner Stuart,
Roberti Isabel
Publication year - 2006
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2005.00478.x
Subject(s) - medicine , creatinine , nephrectomy , renal function , surgery , demographics , incidence (geometry) , transplantation , etiology , single center , kidney transplantation , urology , kidney , physics , demography , sociology , optics
Laparoscopic donor nephrectomy (LDN) is rapidly becoming the preferred technique for the procurement of living donor kidneys. An association of this technique with delayed graft function and higher risk for rejection has been reported in pediatric recipients. We reviewed our experience of 17 pediatric patients who received a living donor kidney, from 2002 to 2004, procured by LDN, and compared it with a matched group that received living donor kidneys harvested by the open technique. Patient demographics, etiology of renal failure, intra‐operative events, length of stay, serum creatinine decline, and graft function were reviewed. Our experience confirmed the findings of earlier reports specifically in small pediatric recipients. The LDN group showed a significantly slower decline in creatinine in the immediate post‐operative period and longer intra‐operative time. However, there was no difference between the two groups in the length of hospital stay, and creatinine clearances at discharge, six, 12 and 24 months post‐operatively. The incidence of acute rejection was similar in both groups. LDN is a safe procurement modality for pediatric patients. The risk for prolonged OR time and delay graft function has to be considered during the evaluation process.