title: Comparison of outcomes of hand-assisted laparoscopic to open donor nephrectomy for pediatric recipients.
abstract: The purpose of this study is to compare the outcome of pediatric recipients of kidneys procured using a hand-assisted laparoscopic (HALDN group) to an open technique (ODN group). Twenty-eight patients ≤18 yr old (HALDN group) were compared with 17 patients (ODN group). The serum creatinine for HALDN and ODN groups at discharge were 0.93 ± 0.48 and 0.94 ± 0.54 mg/dL (p = 0.917), respectively. The serum creatinine for HALDN and ODN groups at six and 12 months was 1.01 ± 0.44 and 1.11 ± 0.55, and 1.04 ± 0.52 and 1.14 ± 0.46 mg/dL (p = 0.516, p = 0.554), respectively. The eGFR for HALDN and ODN groups at discharge was 108.66 ± 37.23 and 106.1 ± 50.55 mL/min/1.73 m(2) (p = 0.845), respectively. The eGFR for HALDN and ODN groups at six and 12 months was 97.77 ± 28.25 and 81.73 ± 27.46, and 94.56 ± 28.3 and 85.74 ± 30.1 mL/min/1.73 m2 (p = 0.085, p = 0.344), respectively. The patient and graft survival for both groups were 100% at 12 months post-transplant. In conclusion, the short-term outcome of recipients of kidneys procured via HALDN is comparable to that of kidneys procured via ODN in pediatric patients.
authors.affiliation: Transplantation Institute, Loma Linda University Medical Center, Loma Linda, CA 92354, USA. pbaron@llu.edu
authors.forename: Pedro W
authors.initials: PW
authors.lastname: Baron
authors.forename: Jaysson
authors.initials: J
authors.lastname: Brooks
authors.forename: D Duane
authors.initials: DD
authors.lastname: Baldwin
authors.forename: Drew
authors.initials: D
authors.lastname: Cutler
authors.forename: Arputharaj
authors.initials: A
authors.lastname: Kore
authors.forename: Arvand
authors.initials: A
authors.lastname: Elihu
authors.forename: Michael
authors.initials: M
authors.lastname: de Vera
authors.forename: Shobha
authors.initials: S
authors.lastname: Sahney
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003404:Creatinine / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D005919:Glomerular Filtration Rate; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D019520:Living Donors; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D003404:Creatinine