19th Congress of the European Society for Organ Transplantation (ESOT), Kobenhavn, Danimarka, 15 - 18 Eylül 2019, ss.35
Background: Laparoscopic approach has become the standard procedure for living donor nephrectomy in many transplant centers. In order to minimize the morbidity of the living donors, transvaginal extraction of the kidney has been introduced as a minimally invasive technique. Here, we aimed to investigate the effect of the surgical techniques regarding trasvaginal and standard donor nephrectomy on recipient and graft outcomes.
Material/Methods: This prospective data analysis included a total of 146 kidney transplant recipients whom all had female living donors. Group I included 37 recipients (4 female, 33 male) whose donors underwent laparoscopic nephrectomy with transvaginal extraction. Group II included 109 recipients (31 female, 78 male) whose donors underwent a standard laparoscopic nephrectomy. Parameters regarding recipient and donor ages, warm and cold ischemia times during the procedure, and 5-year recipient and graft survival rates, were compared between the two groups.
Results: Male gender and warm ischemia time were found to be significantly higher in Group I compared to Group II (89.2% and 71.6% male gender, 195 and 146 seconds in groups I an II respectively). On the other hand, no significant difference regarding recipient and donor ages, cold ischemia time during the procedure and follow-up duration were observed between the two groups. Most importantly statistical analysis revealed high recipient and graft survival rates in both groups (5-year recipient survival rates 96.8% and 98.8% in groups I and II respectively, 5-year graft survival rates 96.8% and 96.7% in groups I and II respectively).
Conclusions: Successful long-term outcomes of kidney transplant recipients whose donors had a laparoscopic donor
nephrectomy with vaginal extraction, encourages the surgeons to perform this minimally invasive method in order to minimize
the morbidity of the living donors.