Hand-assisted retroperitoneoscopic donor nephrectomy offers more liberal use of right kidneys: Lessons learned from 565 cases - a retrospective single-center study

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dc.authorid0000-0002-1240-7233
dc.contributor.authorAkın, Emin Barış
dc.contributor.authorBarlas, İlhami Soykan
dc.contributor.authorDayangaç, Murat
dc.date.accessioned2021-10-12T12:39:25Z
dc.date.available2021-10-12T12:39:25Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractThe introduction of laparoscopic donor nephrectomy caused a shift toward, left donor nephrectomy. Some centers report a significantly low rate of endoscopic right donor nephrectomy. Hand-assisted retroperitoneoscopic donor nephrectomy (HARP-DN) was introduced as a novel surgical technique, which aims to avoid intra-abdominal complications. It was also reported to provide technical advantages for right-sided DN. In this retrospective single-center study, we evaluated the impact of HARP-DN technique on utilization of right-sided DNs. After the implementation of HARP-DN on February 2009, a total of 565 DNs were performed until December 2015. The introduction of HARP-DN technique resulted in an immediate increase in the utilization of right kidneys from 6.1% to an average of 19.6% annually. The donors 'outcome was similar to the left-sided and right-sided DN groups, excluding the increased incidence of incisional hernias in left kidney donors. None of the donors developed intra-abdominal complications. In conclusion, the implementation of HARP technique significantly increased the use of right-sided DNs, which enables a more liberal use of donors in LDKT.
dc.identifier.citationAkın, E. B., Barlas, İ. S. ve Dayangaç, M. (2021). Hand-assisted retroperitoneoscopic donor nephrectomy offers more liberal use of right kidneys: Lessons learned from 565 cases - a retrospective single-center study. Transplant International, 34(3), 445-454. https://dx.doi.org/10.1111/tri.13806
dc.identifier.doi10.1111/tri.13806
dc.identifier.endpage454
dc.identifier.issn0934-0874
dc.identifier.issn1432-2277
dc.identifier.issue3
dc.identifier.scopusqualityQ1
dc.identifier.startpage445
dc.identifier.urihttps://dx.doi.org/10.1111/tri.13806
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8438
dc.identifier.volume34
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofTransplant Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectDonor Nephrectomy
dc.subjectKidney Transplantation
dc.subjectHand?Assisted Retroperitoneoscopic Donor Nephrectomy
dc.titleHand-assisted retroperitoneoscopic donor nephrectomy offers more liberal use of right kidneys: Lessons learned from 565 cases - a retrospective single-center study
dc.typeArticle

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