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09 April 2021: Original Paper

Hand-Assisted Laparoscopic Donor Nephrectomy in Living Donors with a History of Abdominal Surgery: A Retrospective Cohort Study

Takahisa Hiramitsu 1ABCDEF* , Toshihide Tomosugi 1B , Kenta Futamura 1C , Manabu Okada 1D , Norihiko Goto 1E , Shunji Narumi 1F , Kazuharu Uchida 2F , Yoshihiko Watarai 1D

DOI: 10.12659/AOT.929752

Ann Transplant 2021; 26:e929752

Table 4 Results of recipients.

Left HALDNRight HALDN
Group AGroup BP valueOdds ratio95% CIGroup CGroup DP valueOdds ratio95% CI
Number444891111
Arterial reconstruction7 (15.9%)106 (21.7%)0.4452 (18.2%)3 (27.3%)0.999
Total ischemia time (min; mean±SD)83.1±25.4101.0±42.09.348 to 26.434116.0±37.3124.7±43.10.617−8.727 to 17.197
Time to initial urination (min; mean±SD)17.1±14.620.3±19.90.316−3.019 to 9.33722.1±22.717.7±11.40.578−4.336 to 7.666
ComplicationsArterial stricture0000
Arterial thrombosis01 (0.20%)0.999-00
Venous thrombosis0000
Ureteric leakage3 (6.82%)3 (0.61%)0.0091.8440.828 to 4.10700
Ureteric stricture03 (0.61%)0.99900
Lymphocele010 (2.04%)0.99900
Delayed graft function01 (0.20%)0.99900
Acute cellular rejection02 (0.41%)00
Acute antibody mediated rejection1 (2.27%)9 (1.84%)0.5811.020.7828 to 1.25600
Graft loss1 (2.27%)13 (2.66%)0.9991.1440.169 to 7.73100
Death1 (2.27%)4 (0.82%)0.3511.1480.740 to 1.78100
Urinary tract infection1 (2.27%)11 (2.25%)0.9991.0010.842 to 1.18900
Surgical site infection06 (1.23%)0.9991 (9.0%)00.999
Postoperative bleeding1 (2.27%)11 (2.25%)0.9991.0010.842 to 1.18900
Duodenum perforation02 (0.41%)0.99900
Colon perforation02 (0.41%)0.99900
Strangulated ileus01 (0.20%)0.99900
95% CI – 95% confidence interval; HALDN – hand-assisted laparoscopic donor nephrectomy; SD – standard deviation.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358