Volume 15 Issue 2
Mar.  2024
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Song Hongchen, Lyu Jingcheng, Guo Yuwen, et al. Relationship between influencing factors of operation time and postoperative complications in hand-assisted laparoscopic living donor nephrectomy[J]. ORGAN TRANSPLANTATION, 2024, 15(2): 244-250. doi: 10.3969/j.issn.1674-7445.2023211
Citation: Song Hongchen, Lyu Jingcheng, Guo Yuwen, et al. Relationship between influencing factors of operation time and postoperative complications in hand-assisted laparoscopic living donor nephrectomy[J]. ORGAN TRANSPLANTATION, 2024, 15(2): 244-250. doi: 10.3969/j.issn.1674-7445.2023211
shu

Relationship between influencing factors of operation time and postoperative complications in hand-assisted laparoscopic living donor nephrectomy

doi: 10.3969/j.issn.1674-7445.2023211

  • Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

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  • Corresponding author: Zhu Yichen，Email: yczhu@ccmu.edu.cn
  • Received Date: 2023-10-14
  • Accepted Date: 2023-12-13
    • Available Online: 2023-12-25
  • Publish Date: 2024-03-15
    Abstract
  •   Objective  To identify the influencing factors of operation time of hand-assisted laparoscopic living donor nephrectomy, and to analyze the relationship between influencing factors and the severity of postoperative complications.   Methods  Clinical data of 91 donors who underwent hand-assisted laparoscopic nephrectomy were retrospectively analyzed. The correlation between preoperative baseline data of donors and operation time was analyzed. The relationship between operation time and postoperative complications was assessed and the threshold of operation time was determined.   Results  Multiple donor renal arteries, thick perirenal and posterior renal fat, metabolic syndrome, high Mayo adhesive probability (MAP) score and Clavien-Dindo score prolonged the operation time. By analyzing the receiver operating characteristic (ROC) curve, we found that when the operation time was ≥138 min, the incidence of postoperative complications of donors was significantly increased (P<0.05).   Conclusions  For donors with multiple renal arteries, thick perirenal and posterior renal fat, metabolic syndrome and high MAP score and Clavien-Dindo score, experienced surgeons should be selected to make adequate preoperative preparation and pay close attention after surgery, so as to timely detect postoperative complications and reduce the severity of complications, enhance clinical prognosis of the donors.

     

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