Burkhalter, Felix; Huynh-Do, Uyen; Hadaya, Karine; Matter, Maurice; Müller, Thomas; Binet, Isabelle; Nolte, Christa; Steiger, Juerg (2017). Early complications after living donor nephrectomy: analysis of the Swiss Organ Living Donor Health Registry. Swiss medical weekly, 147(w14497), w14497. EMH Media 10.4414/smw.2017.14497
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BACKGROUND
We evaluated the prospectively collected data about the incidence of early peri- and postoperative complications, and potential risk factors for adverse outcomes after living kidney donation in Switzerland.
METHODS
Peri- and postoperative events were prospectively recorded on a questionnaire by the local transplant teams of all Swiss transplant centres and evaluated by the Swiss Organ Living Donor Health Registry. Complications were classified according to the Clavien grading system. A total of 1649 consecutive donors between 1998 and 2015 were included in the analysis.
RESULTS
There was no perioperative mortality observed. The overall complication rate was 13.5%. Major complications defined as Clavien ≥3 occurred in 2.1% of donors. Obesity was not associated with any complications. Donor age >70years was associated with major complications (odds ratio [OR] 3.99) and genitourinary complications (urinary tract infection OR 5.85; urinary retention OR 6.61). There were more major complications observed in donors with laparoscopic surgery versus open surgery (p = 0.048), but an equal overall complication rate (p = 0.094).
CONCLUSION
We found a low rate of major and minor complications, independent of surgical technique, after living donor nephrectomy. There was no elevated complication rate in obese donors. In contrast, elderly donors >70 years had an elevated risk for perioperative complications.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Nephrology and Hypertension |
UniBE Contributor: |
Huynh-Do, Uyen |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1424-3997 |
Publisher: |
EMH Media |
Language: |
English |
Submitter: |
Uyen Huynh-Do |
Date Deposited: |
01 Oct 2019 13:04 |
Last Modified: |
05 Dec 2022 15:29 |
Publisher DOI: |
10.4414/smw.2017.14497 |
PubMed ID: |
28871572 |
BORIS DOI: |
10.7892/boris.131757 |
URI: |
https://boris.unibe.ch/id/eprint/131757 |
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