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07 May 2024: Original Paper

Transplant Nephrectomy: A Comparative Study of Timing and Techniques in a Single Institution

Ursula Pession 1ABCDE* , Ingrid Lammers 1BCF , Ingeborg Hauser 2AE , Teresa Schreckenbach 1CE , Andreas Schnitzbauer 1E , Jeannine Lang 2B , Michael Heise 1BD , Wolf Otto Bechstein 1ADE

DOI: 10.12659/AOT.942252

Ann Transplant 2024; 29:e942252

Table 1 Comparison between early and late TN.

CharacteristicAll TN n=69Early TN n=17Late TN n=52P value
52±1358±1152±130.13
47±1658±1143±160.002
 Female21 (30.4%)3 (17.6%)18 (34.6%)
 Male48 (69.6%)14 (82.4%)34 (65.4%)
26.4±5.527.2±4.026.1±5.9
 Diabetes mellitus23 (31.9%)5 (29.4%)17 (32.7%)0.81
 Cardiovascular dis.35 (50.7%)10 (58.8%)25 (48.1%)0.44
 Hypertension66 (95.7%)16 (94.1%)50 (96.2%)0.72
 COLD5 (7.2%)2 (11.8%)3 (5.8%)0.40
 Nicotine abuse13 (18.8%)4 (23.5%)9 (17.3%)0.73
 ASA 352 (75.4%)11 (64.7%)41 (78.8%)0.24
 ASA >317 (24.6%)6 (35.3%)11 (21.2%)
 Deceased donor54 (78.3%)16 (94.1%)38 (73.1%)
 Living donor9 (13%)1 (5.8%)8 (15.4%)
 Unknown6 (8.7%)06 (11.5%)
 Kidney64 (92.8%)15 (88.2%)49 (94.2%)
 Pancreas-kidney5 (7.2%)2 (11.8%)3 (5.8%)
27±3254±3118±14
 Elective surgery53 (76.8%)7 (41.2%)46 (88.5%)
 Urgent surgery8 (11.6%)4 (23.5%)4 (7.7%)
 Emergency surgery8 (11.6%)6 (35.3%)2 (3.8%)
 Transfusion during surgery12 (17.4%)4 (23.5%)8 (15.4%)0.442
 Graft intolerance syndrome40 (58%)040 (76.9%)
 Preparation for re TX4 (5.8%)04 (7.7%)
 Malignancy8 (11.6%)08 (15.4%)
 Complication of TX17 (24.6%)17 (100%)0
0.002
 None/Minor55 (79.7%)9 (52.9%)46 (88.5%)
 Major14 (20.3%)8 (47.1%)6 (11.5%)
Mortality3 (4.3%)1 (5.9%)2 (3.8%)0.721
TN – transplant nephrectomy.

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