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논문 기본 정보

자료유형
학술저널
저자정보
Volkan Genc (Ankara University) Ahmet Serdar Karaca (Ankara University) Erkinbek Orozakunov (Ankara University) Atil Cakmak (Ankara University) Yusuf Sevim (Ankara University) Evren Ustuner (Ankara University) Derya Oztuna (Ankara University) Selcuk Mevlut Hazinedaroglu (Ankara University)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.80 No.4
발행연도
2011.4
수록면
272 - 277 (6page)

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Purpose: 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. Conclusion: 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.

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Purpose
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