Urologic complications in renal transplant recipients by donor type.
OBJECTIVE
Reduced donor morbidity has been established after laparoscopic donor nephrectomy compared with open harvest, but differences in recipient outcomes remain less obvious. We compared the urologic complications in patients receiving kidneys procured by cadaveric, open, and laparoscopic harvest.


METHODS
A retrospective study of all the kidney transplantations performed between January 1998 and December 2003 was undertaken to extract 100 consecutive patients in each group. All urologic complications were obtained and grouped by the type of donor procurement.


RESULTS
Overall, 48 of the 276 transplant patients (17%) had urologic complications: 14% of the cadaveric-donor recipients, 20% of the open-donor recipients, and 18% of the laparoscopic-donor recipients. There were no ureteral complications in the laparoscopic group.


CONCLUSIONS
Laparoscopically procured donor kidneys were associated with significantly fewer recipient ureteral complications than open cadaver or live-donor procurement.
Amukele
S A
SA
Department of Urology, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Belletete
B
B
Samadi
A A
AA
Edye
M
M
El-Sabrout
R
R
Butt
K
K
Eshghi
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods; D014570:Urologic Diseases / Q000209:etiology* / Q000601:surgery