Impact of retroperitoneoscopic donor nephrectomy on renal allograft in Indian and African recipients.
OBJECTIVE
To evaluate the impact of laparoscopic donor nephrectomy on renal allografts in Indian and African recipients.


METHODS
Between September 2004 and August 2006, 125 retroperitoneoscopic donor nephrectomies were performed. Ninety-four donors were Indian (group A) and 32, African (group B). Three ports were used for left-sided and four for right-sided surgery, respectively. Hem-o-lok clips were used to control arteries and veins on left side and arteries on right side while an Endo-TA stapler was used on the right side to obtain an inferior vena caval cuff.


RESULTS
The mean operative times in groups A and B were 130 and 134 minutes; mean blood loss, 100.4 mL and 85.3 mL; and mean warm ischemia time, 242.1 seconds and 234.5 seconds, respectively. Recipient mean serum creatinine value on day 7 was 1.9 and 1.6 mg%, and on day 28, 1.44 mg% and 1.4 mg%, respectively.


CONCLUSIONS
Early adequate allograft function following retroperitoneoscopic donor nephrectomy was comparable in African and Indian patients, suggesting that no racial advantage was observed in this procedure.
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Department of Urology and Transplantation, Dr H.L. Trivedi Institute of Transplantation Sciences --Gulabben Rasiklal Doshi and Kamlaben Mafatlal Mehta Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India. ikdrcad1@sancharnet.in
Shah
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Vanikar
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Trivedi
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D000328:Adult; D000349:Africa; D044466:Asian People; D044383:Black People; D005260:Female; D007839:Functional Laterality; D006801:Humans; D007194:India; D016030:Kidney Transplantation / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D012187:Retroperitoneal Space / Q000601:surgery; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014184:Transplantation, Homologous; D016896:Treatment Outcome