Outcomes of Laparoscopic Donor Nephrectomy in Presence of Double Renal Arteries – An Early Experience in a Developing Country

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Abstract

Introduction

Since its description in 1995, Laparoscopic donor nephrectomy has gained widespread acceptance. The presence of two renal arteries in donor can pose a challenge to the surgeon. The multiplicity of donor artery may have an adverse effect not only on safety of donor but also on graft outcomes. However with increased experience and continuous evolution in instruments and surgical techniques, multiple renal arteries in laparoscopic donor nephrectomy are being performed successfully. Team work including donor surgeons, recipient surgeons and theater staff for accomplishment of a successful donor and recipient surgery is essential.

Objective

To evaluate the outcomes of laparoscopic donor nephrectomy with double renal arteries.

Methods

Data was retrieved retrospectively from May 2014 to Feb 2017. Patients with double renal artery who underwent laparoscopic donor nephrectomy were evaluated for laterality of side, operation time, ischemia time and hospitals stay.

Results

A total of 30 patients were included in the study. The male to female ratio was 3.3:1. Two kidneys were of right side. Maximum warm ischemia time recorded was 5 min 5 sec while mean was 193 ± 61 sec. There was no conversion in double renal artery. There was no primary graft failure.

Conclusion

Outcomes of laparoscopic donor nephrectomy with double renal artery is comparable to laparoscopic donor nephrectomy with single renal artery. There should be no hesitation in performing laparoscopy donor nephrectomy with double renal arteries in experienced surgical hands and can be done in resource poor country.

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