Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
World Journal of Surgery
Published in: World Journal of Surgery 5/2018

01-05-2018 | Original Scientific Report

Implantation of Right Kidneys: Is the Risk of Technical Graft Loss Real?

Authors: Taqi T. Khan, Nadeem Ahmad, Kashif Siddique, Konstantinos Fourtounas

Published in: World Journal of Surgery | Issue 5/2018

Login to get access

Abstract

Background

The left kidney (LK) is preferred by transplant surgeons, because its vein is always of good length and has a thick wall that enables safe suturing. On the other hand, the right renal vein is generally shorter and thinner walled, and well known for its technical difficulty during venous anastomosis, and can result in graft loss. We examined our living (LD) and deceased donor (DD) recipient data and compared the incidence of technical graft loss and early graft function in right and left kidneys.

Methods

A cohort of 58 adult and pediatric recipients received an LD or DD kidney between January 2015 and December 2016. The donor and recipient data were retrieved and retrospectively analyzed. Technical graft loss was defined as graft thrombosis within the 7 days after transplant.

Results

Right kidneys (RKs) were not a risk factor for technical graft loss, and no graft was lost for technical reasons in either LD or DD transplants. Early graft function in LK and RKs was also comparable in the LD cohort, and there were no LKs in the DD cohort.

Conclusion

Based on our data, the use of RKs was not a risk factor for technical graft loss and early graft function was comparable to LKs.
Literature
1.
Mandal AK et al (2001) Should the indications for laparoscopic live donor nephrectomy of the right kidney be the same as for the open procedure? Anomalous left renal vasculature is not a contraindication to laparoscopic left donor nephrectomy. Transplantation 71(5):660–664CrossRefPubMed
2.
3.
4.
Liu KL, Chiang YJ, Wang HH, Chu SH (2008) Techniques of vascular control in laparoscopic donor nephrectomy. Transplant Proc 40:2342–2344CrossRefPubMed
5.
Khalil A, Mujtaba MA, Taber TE (2016) Trends and outcomes in right vs. left living donor nephrectomy: an analysis of the OPTN/UNOS database of donor and recipient outcomes–should we be doing more right-sided nephrectomies? Clin Transpl 30(2):145–153CrossRef
6.
Adler JT, Markmann JF, Yeh H (2016) Renal allograft thrombosis after living donor transplantation: risk factors and obstacles to retransplantation. Clin Transpl 30(8):864–871CrossRef
7.
Ko EY et al (2008) Utility of the endovascular stapler for right sided laparoscopic donor nephrectomy: a 7-year experience at Mayo Clinic. J Am Coll Surg 207(6):896–903CrossRefPubMed
8.
Liu et al (2014) Maximizing the donor pool: left versus right laparoscopic live donor nephrectomy-systemic review and meta-analysis. Int Urol Nephrol 46(8):1511–1519CrossRefPubMed
9.
Amezquita Y et al (2008) Risk factors for early renal graft thrombosis: a case-controlled study in grafts from the same donor. Transplant Proc 40(9):2891–2893CrossRefPubMed
10.
Vacher-Coponat H et al (2013) Inferior early posttransplant outcomes for recipients of right versus left deceased donor kidneys: an ANZDATA registry analysis. Am J Transplant 13(2):399–405CrossRefPubMed
11.
12.
Phelan PJ et al (2009) Left versus right deceased donor renal allograft outcome. Transpl Int 22(12):1159–1163CrossRefPubMed
13.
Brown WNSL, Biehl TR, Rawlins MC et al (2001) Laparoscopic live donor nephrectomy: a comparison of the conventional open approach. J Urol 2001(165):766–769CrossRef
14.
Yang SC, Ko WJ, Byun YJ et al (2001) Retroperitoneoscopy-assisted live donor nephrectomy: the Yonsei experience. J Urol 164:1099–1102CrossRef
15.
Modi P, Kadam G, Devra A (2007) Obtaining cuff of inferior vena cava by use of the endo-TA stapler in retropertoneoscopic right side donor nephrectomy. Urology 69(5):832–834CrossRefPubMed
16.
Hellegering J et al (2012) Deleterious influence of prolonged warm ischemia in living donor kidney transplantation. Transplant Proc 44:1222–1226CrossRefPubMed
17.
18.
Metadata
Title
Implantation of Right Kidneys: Is the Risk of Technical Graft Loss Real?
Authors
Taqi T. Khan
Nadeem Ahmad
Kashif Siddique
Konstantinos Fourtounas
Publication date
01-05-2018
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 5/2018
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-017-4314-y

Other articles of this Issue 5/2018

World Journal of Surgery 5/2018 Go to the issue

Original Scientific Report

Evaluation of Prognostic Factors for Esophageal Squamous Cell Carcinoma Treated with Neoadjuvant Chemoradiotherapy Followed by Surgery

Surgical Symposium Contribution

Genetic Diagnosis before Surgery has an Impact on Surgical Decision in BRCA Mutation Carriers with Breast Cancer

Original Scientific Report

Result of Thoracic Endovascular Aortic Repair for Patients with Esophageal Cancer

Original Scientific Report

Transabdominal Pre-Peritoneal Versus Open Repair for Primary Unilateral Inguinal Hernia: A Meta-analysis

Invited Commentary

The Physician Attrition Crisis: A Cross-Sectional Survey of the Risk Factors for Reduced Job Satisfaction among US Surgeons

Letter to the Editor

Post-hepatectomy Lactate: Should We Add More?