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Organo Oficial de la Sociedad Mexicana de Urología

2022, Number 1

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Rev Mex Urol 2022; 82 (1)

Right nephrectomy vs left nephrectomy in living donor transplantation, analysis of evolution and prognosis. Report from a tertiary care hospital

Noriega-Salas L, Cruz-Santiago J, Bernáldez-Gómez G, Meza-Jiménez G, Robledo-Meléndez A, Quiñones-Gamero M, Cano-Vargas B

Language: English
References: 15
Page:
PDF size: 214.15 Kb.


ABSTRACT

Kidney transplantation is the best renal replacement therapy for end-stage renal disease. Living donation constitutes the highest proportion of transplants in our country; donation nephrectomy requires assessment of renal function, which will influence the surgical planning of the kidney to donate.
Methods: We made a comparison between the evolutions of patients who underwent right nephrectomy versus left nephrectomy, for donation purposes in our center.
Results: Out of a total of 395 cases, 86 (21.7%) were right nephrectomies. With significant differences in the proportion of intraoperative complications, 2% for left nephrectomy and none for right nephrectomy; and more patients with postoperative complications (Clavien-Dindo II) for the left nephrectomy group, with a statistically significant difference (p = 0.02)
Discussion and Conclusions: Adequate surgical planning of the kidney to donate is required to ensure renal function after the donation event, as well as verification of the safety of the surgical act in the donor and the recipient, this must be collegiate and individualized for each transplant binomial.


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