Evaluation of time taken for laparoscopic donor nephrectomy (LDN) and to achieve lowest creatinine levels after surgery among renal transplant recipients with multiple renal arteries

Abstract

Background: This was a prospective observational study to evaluate the time taken for laparoscopic donor nephrectomy and to achieve lowest creatinine levels after surgery among Renal transplant recipients with multiple renal arteries. Material andMethods: In the present study 25 patients’ recipients of multiple renal artery graft kidney who underwent renal transplant after 30 the June 2016 till October 2017 with post-transplant serum creatinine ≤ 1.5mg/dl were included and evaluated for time taken for laparoscopic donor nephrectomy and to achieve lowest creatinine levels. Results: In the present study, in 16 cases (64%) time taken for LDN ranged from 180-239 minutes, 3 (12%) cases were completed in less than 120 minutes and 5(20%) cases were completed in time range of 120-179 minutes. Average time time for LDN is 177.96 ± 87.578 minutes. Time taken for recipient surgery in 20 cases (80%) varied from 180-239 minutes. In 4 cases (16%) surgery was completed in range of 240-300 minutes. Average time taken for recipient surgery was 203.64± 61.504 minutes. Mean cold ischemia time (CIT) in this study was 107.44 ± 43.416 minutes In this study the time taken to reach the lowest creatinine value varied from 3 days to 14 days with mean of 7.52 ± 7.7 days. In majority of cases i.e 12(48%) the lowest creatinine level was reached in less than 5 days . in 7 cases (28%) the time taken was 6-10 days and in 6 cases(24%) it was between 11-15days. Conclusion: In conclusion, among majority of patients undergoing Laparoscopic Donor Nephrectomy, time taken for LDN and recipient surgery was between3-4 hours while in majority of cases the lowest creatinine level was reached within a week.