title: Multiple renal arteries challenge in laparoscopic donor nephrectomy: how far can we go?
abstract: OBJECTIVE
  Living donor kidneys with multiple arteries are routinely procured laparoscopically. We aim to present our experience with laparoscopic donor nephrectomy (LDN) and to compare the graft function and outcome between cases with single versus multiple arteries.
  
  
  METHODS
  We compared the demographic data, operation time, warm ischemia time, rejection rate, and graft function between LDN kidneys with single artery and those with multiple arteries.
  
  
  RESULTS
  Seventy-three cases with 1 renal artery (group LDN-1), 8 cases with 2 renal arteries (group LDN-2) and 5 cases with 3 or more renal arteries (group LDN-3) were included in the study. The mean operative time was significantly higher in groups LDN-2 (100.3 ± 9.5 minutes) and LDN-3 (120.6 ± 10.3 minutes) compared to group LDN-1 (75.7 ± 10 minutes, P < 0.001). Similar results were detected with respect to the warm ischemia time. There were no statistically significant differences related to graft function and outcome among these groups.
  
  
  CONCLUSIONS
  Multiple renal arteries present a special challenge in both donor nephrectomy and renal transplantation. However, laparoscopic procurement of a kidney with multiple renal arteries, regardless of the number, is reliable and has no significant impact on the graft outcome.
authors: Department of Surgery, Ankara University School of Medicine, Ankara, Turkey.
authors: Volkan
authors: V
authors: Genc
authors: Ahmet Serdar
authors: AS
authors: Karaca
authors: Erkinbek
authors: E
authors: Orozakunov
authors: Atil
authors: A
authors: Cakmak
authors: Yusuf
authors: Y
authors: Sevim
authors: Evren
authors: E
authors: Ustuner
authors: Derya
authors: D
authors: Oztuna
authors: Selcuk Mevlut
authors: SM
authors: Hazinedaroglu