Perioperative management for laparoscopic kidney donation

G. Biancofiore, G. Amorose, D. Lugli, L. Bindi, M. Esposito, N. Fossati, L. Meacci, C. Pasquini, M. Pieri, U. Boggi, A. Pietrabissa, F. Mosca

Research output: Contribution to journalArticlepeer-review

Abstract

Aim. To report a single centre's experience in the perioperative management of live kidney laparoscopic donations. Methods. Design: comparative analysis of all laparoscopic kidney donations performed between April 2000 and August 2002 and a corresponding number of "traditional surgery" donors from a historical series. Setting: kidney transplant centre of a teaching hospital. Interventions: 39 and 27 subjects undergoing respectively laparoscopic and traditional "open" kidney donation were studied. A standard balanced anesthesiological technique was used in both groups but, to counterbalance the reported abdominal insufflation-related kidney dysfunction, laparoscopic donors were administered an extra intravascular volume loading with colloids and crystalloids starting from the night before surgery. Results. Laparoscopic donors underwent a longer procedure with a lower estimated blood loss (p=0.0001) and were intraoperatively administered with a higher amount of intravenous fluids (p

Original languageEnglish
Pages (from-to)681-689
Number of pages9
JournalMinerva Anestesiologica
Volume69
Issue number9
Publication statusPublished - Sep 2003

Keywords

  • Kidney transplantation
  • Laparoscopy
  • Living donors
  • Organ procurement

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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