« on: May 06, 2016, 01:55:01 PM »
http://link.springer.com/article/10.1007%2Fs00268-015-3232-0World Journal of SurgeryFebruary 2016, Volume 40, Issue 2, pp 471-478Is the Reluctance for the Implantation of Right Donor Kidneys Justified? Denise M. D. Özdemir-van Brunschot, Cees J. H. M. van Laarhoven, Michel F. P. van der Jagt, Andries J. Hoitsma, Michiel C. WarléDOI: 10.1007/s00268-015-3232-0AbstractBackgroundThe 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.MethodsTwo 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.ResultsIn 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).ConclusionsOur data show that the implantation of right kidneys from living donors is associated with a higher incidence of technique-related graft failure as compared to left kidneys.
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Unrelated directed kidney donor in 2003, recipient and I both well.
620 time blood and platelet donor since 1976 and still giving!
Elected to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, and Ad Hoc Public Solicitation of Organ Donors Committees, 2005-2011
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