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Effect of Donor Nephrectomy Technique on Recipient Lymphatic Drainage.
Tefik, T; Ciftci, H S; Kocak, T; Sanli, O; Ander, H; Ziylan, O; Oktar, T; Verep, S; Caliskan, Y; Turkmen, A; Oguz, F S; Nane, I.
Afiliación
  • Tefik T; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. Electronic address: tztefik@istanbul.edu.tr.
  • Ciftci HS; Department of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Kocak T; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Sanli O; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Ander H; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Ziylan O; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Oktar T; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Verep S; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Caliskan Y; Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Turkmen A; Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Oguz FS; Department of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Nane I; Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Transplant Proc ; 47(5): 1282-6, 2015 Jun.
Article en En | MEDLINE | ID: mdl-26093698
AIM: We sought to evaluate the postoperative recipient lymphatic drainage depending on open donor nephrectomy (ODN) or laparoscopic (LDN) techniques. METHOD: Between March 2012 and August 2014, 58 patients underwent renal transplantation from living-related donors. Thirty donors underwent ODN (group 1), and 28 LDN (group 2). Operations were performed by the same surgeons. Both cranial and caudal drainage catheters for lymphatic leakage were placed preoperatively and all the recipients received tacrolimus, mycophenolate mofetil, and steroid as immunosuppressive regimen. None of the patients had coagulation abnormalities. RESULTS: All grafts were functioning during the early postoperative period and diuresis was ensured. No difference was observed on early postoperative period regarding to acute rejection (P = .329) or infection (P = .546). No difference was seen concerning mycophenolate mofetil and mycophenolate sodium regimens among the 2 groups (P = .227). In groups 1 and 2, the cranial drainage catheters were not taken out until postoperative days 5.5 ± 2.5 (range, 0-11) and 6.4 ± 3.8 (range, 0-14) and the caudal catheters stayed in place until days 8.8 ± 3.5 (range, 1-16) and 9.9 ± 5.9 (range, 3-22), respectively. No difference was found when comparing the cranial (P = .308) and caudal (P = .426) drainage periods. However, during clinical acute rejection episodes the cranial drainage period was longer in group 1 (P = .003). Three patients developed lymphoceles, 1 requiring drainage, in group 2. CONCLUSIONS: There seems to be no difference in recipient lymphatic drainage by donor nephrectomy technique. A laparoscopic procedure may be advantageous owing to shorter lymphatic drainage during clinical acute rejection episodes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Posoperatorios / Drenaje / Trasplante de Riñón / Laparoscopía / Donadores Vivos / Recolección de Tejidos y Órganos / Nefrectomía Tipo de estudio: Etiology_studies / Evaluation_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Transplant Proc Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Posoperatorios / Drenaje / Trasplante de Riñón / Laparoscopía / Donadores Vivos / Recolección de Tejidos y Órganos / Nefrectomía Tipo de estudio: Etiology_studies / Evaluation_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Transplant Proc Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos