Effect of warm ischemia on graft outcome in laparoscopic donor nephrectomy.
OBJECTIVE
To assess the impact of warm ischemia time (WIT) on delayed graft function (DGF), graft loss, and graft function in laparoscopic donor nephrectomy (LDN).


METHODS
We prospectively studied 100 kidney recipients from LDN donors from 2001 to 2003. For comparison of graft outcome with different extents of WIT, recipients were divided into three groups: group A received kidneys having 4 to 6 minutes, group B kidneys having >6 to 10 minutes, and group C kidneys having >10 minutes of WIT. The median follow-up was 415 days (range 11-791) days.


RESULTS
The mean kidney WIT was 8.7 minutes (range 4-17 minutes). Graft outcome (DGF, graft loss, and median serum creatinine) was not significantly different in the three groups.


CONCLUSIONS
Different extents of WIT in LDN, within the range of our study, were not associated with an adverse outcome in kidney transplantation.
Simforoosh
N
N
Department of Urology and Renal Transplantation, Urology and Nephrology Research Center, Shahid Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran. Simforoosh@iurtc.org.ir
Basiri
A
A
Shakhssalim
N
N
Ziaee
S A M
SA
Tabibi
A
A
Moghaddam
S M M Hosseini
SM
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011446:Prospective Studies; D013997:Time Factors; D052096:Warm Ischemia / Q000009:adverse effects