Living donor renal transplantation using grafts with multiple arteries procured by laparoscopic nephrectomy.
OBJECTIVE
Kidney grafts with multiple renal arteries (MRAs) are not uncommon, but they do make transplantation more difficult. Laparoscopic graft nephrectomy has become the standard; however, the safety and reliability must be maintained for both a donor and a recipient even in case of MRAs. This study evaluated the short-term outcomes of living donor renal transplant using grafts with MRAs procured by laparoscopic nephrectomy.


METHODS
This study reviewed all living donor kidney transplantations performed from January 2008 to June 2009, which were divided into 3 groups according to the number of renal graft arteries. The serum creatinine level, warm ischemic time (WIT), rewarming time, total ischemic time (TIT), operative time, acute rejection episodes, and complications in each group were evaluated.


RESULTS
The serum creatinine level showed no difference among the groups. Longer TIT was observed in the MRAs group, but WIT and rewarming time did not differ. The acute rejection rate was not different. There were no vessel complications in any donors and recipients.


CONCLUSIONS
Harvesting kidney grafts with MRAs by laparoscopic nephrectomy requires a longer TIT; however, transplantation can be performed safely and reliably for both donors and recipients.
Kitada
H
H
Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University, Fukuoka, Japan. hide@surg1.med.kyushu-u.ac.jp
Doi
A
A
Nishiki
T
T
Miura
Y
Y
Kurihara
K
K
Kawanami
S
S
Tanaka
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003404:Creatinine / Q000097:blood; D006084:Graft Rejection / Q000453:epidemiology; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D016030:Kidney Transplantation / Q000276:immunology / Q000379:methods*; D010535:Laparoscopy / Q000379:methods* / Q000592:standards; D019520:Living Donors; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods* / Q000592:standards; D012077:Renal Artery / Q000601:surgery*; D012189:Retrospective Studies; D012449:Safety; D020858:Tissue and Organ Harvesting / Q000379:methods
D007166:Immunosuppressive Agents; D003404:Creatinine