Is the Reluctance for the Implantation of Right Donor Kidneys Justified?

World Journal of Surgery
Denise M D Özdemir-van BrunschotMichiel C Warlé

Abstract

The lengths of right renal veins are shorter when compared to their left counterparts. Since the implantation of kidneys with short renal veins is considered more challenging, many surgeons prefer left kidneys for transplantation. Therefore, our hypothesis is that the implantation of right kidneys from living and deceased donors is associated with more technical graft failures as compared to left kidneys. Two consecutive cohorts of adult renal allograft recipients of living (n = 4.372) and deceased (n = 5.346) donor kidneys between January 1, 2000 and January 1, 2013 were analyzed. Data were obtained from the prospectively maintained electronic database of the Dutch Organ Transplant Registry. Technical graft failure was defined as failure of the renal allograft within 10 days after renal transplantation without signs of acute rejection. In the living donor kidney transplantation cohort, the implantation of right donor kidneys was associated with a higher incidence of technical graft failure (multivariate analysis p = 0.03). For recipients of deceased donor kidneys, the implantation of right kidneys was not significantly associated with technique-related graft failure (multivariate analysis p = 0.16). Our data show that the impl...Continue Reading

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Citations

Jun 8, 2017·Nature Biotechnology·Sebastian GiwaMehmet Toner
Mar 5, 2017·World Journal of Surgery·Taqi Toufeeq Khan, Nadeem Ahmad
Oct 25, 2017·World Journal of Surgery·Taqi T KhanKonstantinos Fourtounas
Nov 18, 2016·World Journal of Surgery·Denise M D Özdemir-van Brunschot, Michiel C Warlé
Aug 24, 2016·World Journal of Surgery·Taqi T Khan, Nadeem Ahmed
May 10, 2017·World Journal of Surgery·Denise M D Özdemir-van Brunschot, Michiel C Warlé
Jan 5, 2021·International Urology and Nephrology·Shivashankar DamodaranJorge Ortiz
Dec 20, 2020·Transplant International : Official Journal of the European Society for Organ Transplantation·Emin Baris AkinMurat Dayangac
Sep 9, 2021·Clinical Transplantation·Caitlin CarolanColin H Wilson

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