Presented by: Niramya Pathak MD
MPUH: Muljibhai Patel Urological Hospital

Introduction

We aim to study the preoperative and intraoperative factors and compare against specific outcomes in patients undergoing transperitoneal laparoscopic donor nephrectomy and see if we could find what were the predictive factors for these outcomes

Materials

This is a prospective cohort study done in a single high volume transplant center. 153 kidney donors were evaluated over a period of 1 year. The preoperative factors such as age, gender, smoking status, obesity, visceral obesity, perinephric fat thickness, number of vessels, anatomic abnormalities, comorbidities, side of kidney and intraoperative factors such as lay of colon on the kidney, height of splenic or hepatic flexure of colon, loaded or unloaded colon, sticky mesenteric fat  and compared against specific outcomes such as duration of surgery, duration of hospital stay, postoperative paralytic ileus, postoperative wound complications.

Results

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Multivariate logistic regression models were used to study the variables of interest against the various outcomes. There were three positive risk factors for increased hospital stay, which were perinephric fat thickness and height of splenic or hepatic flexure of colon and smoking history. There was one positive risk factor for postoperative paralytic ileus which is lay of colon with relation to kidney and there was one positive risk factor for postoperative wound complication which was visceral fat area.

Conclusion

The predictive factors for adverse postoperative outcomes after transperitoneal laparoscopic donor nephrectomy were perinephric fat thickness, height of splenic or hepatic flexure, smoking status, lay or redundancy of colon with relation to kidney and visceral fat area

Funding

None

Co-Authors

Arvind Ganpule, MD
MPUH: Muljibhai Patel Urological Hospital

Raisa Shetty, MD
MPUH: Muljibhai Patel Urological Hospital

Sudharsan Balaji, MD
MPUH: Muljibhai Patel Urological Hospital

Abhishek Singh, MD
MPUH: Muljibhai Patel Urological Hospital

Ravindra Sabnis, MD
MPUH: Muljibhai Patel Urological Hospital

Mahesh Desai, MD
MPUH: Muljibhai Patel Urological Hospital