Renal Transplantation and Outcome.
Emergency surgery represents an independent risk factor for death and postoperative complications. The aim of this study was to investigate the literature data regarding outcome of daytime or nighttime renal transplantation surgery. Relevant papers, focused on renal transplantation surgery, time of the day, and complications, were searched across the PubMed database. We used the following search terms: "renal", "transplantation", "surgery", "daytime", "nighttime", and "outcome". A total of five papers, including 6,991 adult patients were evaluated. All patients received renal transplantation from deceased donor. Daytime or nighttime surgery do not seem to negatively impact on graft survival in renal transplantation. However, two out five studies reported higher odds of complications after nighttime operation. Since it is not possible to predict the availability of a deceased donor, nighttime surgery remains a valid option when necessary, maybe deserving a higher level of caution to reduce or avoid complications.
1 Department of Medical Sciences, Clinica Medica Unit, School of Medicine, University of Ferrara, Ferrara, Italy.
Roberto
R
Manfredini
2 Department of Internal Medicine, University Hospital of Ferrara, Ferrara, Italy.
Massimo
M
Gallerani
1 Department of Medical Sciences, Clinica Medica Unit, School of Medicine, University of Ferrara, Ferrara, Italy.
Alfredo
A
De Giorgi
1 Department of Medical Sciences, Clinica Medica Unit, School of Medicine, University of Ferrara, Ferrara, Italy.
Ruana
R
Tiseo
3 Department of Biomedical Sciences and Surgical Specialties, School of Medicine, University of Ferrara, Ferrara, Italy.
Nicola
N
Lamberti
3 Department of Biomedical Sciences and Surgical Specialties, School of Medicine, University of Ferrara, Ferrara, Italy.
Fabio
F
Manfredini
4 Department of Specialistic Medicine, Nephrology Unit, University Hospital of Ferrara, Ferrara, Italy.
Silvia
S
Forcellini
4 Department of Specialistic Medicine, Nephrology Unit, University Hospital of Ferrara, Ferrara, Italy.
Alda
A
Storari
5 Department of Specialistic, Diagnostic and Experimental Medicine, School of Medicine, Nephrology and Transplantation Unit, University of Bologna, Bologna, Italy.
Gaetano
G
La Manna
1 Department of Medical Sciences, Clinica Medica Unit, School of Medicine, University of Ferrara, Ferrara, Italy.
Fabio
F
Fabbian
D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D011183:Postoperative Complications; D012189:Retrospective Studies; D014019:Tissue Donors; D016896:Treatment Outcome
complications; daytime; nighttime; renal transplantation; surgery