Incision length for kidney transplantation does not influence short- or long-term outcome: a prospective randomized controlled trial

Malinka, Thomas; Banz, Vanessa Martine; Jörg, Wagner; Candinas, Daniel; Inderbitzin, Daniel (2013). Incision length for kidney transplantation does not influence short- or long-term outcome: a prospective randomized controlled trial. Clinical transplantation, 27(5), E538-E545. Wiley-Blackwell 10.1111/ctr.12209

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BACKGROUND: While previous studies suggest advantages of minimally invasive surgery in living donor nephrectomy, similar data are lacking for kidney transplant recipients. Our aim was to prospectively evaluate short- and long-term outcome for kidney transplant recipients, comparing a short transverse (ST) to a classical hockey-stick (HS) incision. METHODS: Sixty-six patients were randomized into two groups: ST vs. HS from January 2008 to May 2010. ST was defined as incision length ≤9 cm and HS as >14 cm. Perioperative data were collected, with evaluation of intra- and postoperative complications and quality of recovery (QoR) score. RESULTS: There were no significant differences in patient demographics, early or long-term postoperative pain. There were no significant differences in QoR scores between the ST and HS group. Predictive for a worse QoR was persisting incisional pain at the 30-month follow-up. Thirty-days mortality, morbidity, and long-term kidney function did not differ between the two groups (p = 1.00, p = 0.62 and p = 0.66, respectively). CONCLUSIONS: Patient satisfaction as well as graft function and patient mortality was not influenced by incision length. With patient and graft safety being paramount, especially in times of organ shortage, incision length should reflect the requirement for a successful transplantation and not be a measure of feasibility.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

Malinka, Thomas; Banz, Vanessa Martine; Candinas, Daniel and Inderbitzin, Daniel

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0902-0063

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

12 Jun 2014 09:53

Last Modified:

06 Nov 2015 09:50

Publisher DOI:

10.1111/ctr.12209

Uncontrolled Keywords:

kidney transplantation, patient satisfaction, quality of recovery, randomized

BORIS DOI:

10.7892/boris.47436

URI:

https://boris.unibe.ch/id/eprint/47436

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