Objectives: To describe and analyze the perioperative and functional evolution of short-term renal graft in patients with kidney transplantation from a live donor, comparing three surgical techniques for obtaining kidney graft: open nephrectomy, laparoscopic hand-assisted nephrectomy, and pure laparoscopic nephrectomy.
Analytical cross-sectional study that will compare the three renal graft procurement techniques: open nephrectomy, laparoscopic hand-assisted nephrectomy, and pure laparoscopic nephrectomy. The investigators will analyze serum creatinine values on days 1, 5 and 28 post renal transplantation. The operative, medical and surgical morbidity will also be evaluated, considering the bleeding in the donor, times of ischemia and the need for JJ catheter placement in the recipient.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
508
The surgical technique for open nephrectomy consists of placing the donor in the lateral decubitus position and making an incision with or without rib resection that allows retroperitoneal access.
The hand-assisted technique begins with the incision for the introduction port of the hand, the renal artery and vein are divided using endoscopic staples and the graft is manually removed.
In the pure laparoscopic technique the patient is placed in the same position of lateral decubitus and after introducing the trocars in the abdomen, the colon is mobilized and the renal capsule is divided, the kidney is removed after performing the cut of the renal artery and vein through a suprapubic incision.
Rate of medical complications in renal graft recipients through 30 day after the nephrectomy.
The investigators will evaluate the presence of surgical and medical complications in renal graft recipients obtained by open nephrectomy, hand assisted nephrectomy, and pure laparoscopic nephrectomy.
Time frame: Through 30 days post surgery.
Days of hospital stay
Differences in the days of hospital stay of the renal donor comparing the techniques used to obtain the graft.
Time frame: 30 days after the nephrectomy.
Bleeding during the nephrectomy
The investigators will measure the volume of bleeding.
Time frame: Through the nephrectomy
JJ catheter placement
The investigators will describe the number of patients who underwent a JJ catheter.
Time frame: Perioperative (5 days post surgery)
Serum creatinine
Measurement of serum creatinine in kidney transplant patients.
Time frame: Days post trasplant 1, 5 and 28.
Duration of the nephrectomy in minutes
The investigators will measure how long the nephrectomies lasts
Time frame: Minutes from the beginning to the end of the nephrectomy
Warm ischemia time in the graft
The investigators will measure the time of warm ischemia during nephrectomy
Time frame: Time in minutes between the clamping of the renal vessels and the cooling of the graft with the preservation liquid at 4º C
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