Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 Cases
Senohadi Boentoro, Irfan Wahyudi, Chaidir A Mochtar, Agus Rizal AH Hamid Department of Urology, Faculty of Medicine, Indonesia University, Jakarta, IndonesiaCorrespondence: Irfan Wahyudi Email irf.wahyudi2011@gmail.comIntroduction: Laparoscopic surgery has been acknowledged to reduce the morbidity r...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-01-01
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| Series: | Research and Reports in Urology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/blood-transfusions-in-laparoscopic-living-donor-nephrectomy-single-cen-peer-reviewed-article-RRU |
| _version_ | 1818851667239501824 |
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| author | Boentoro S Wahyudi I Mochtar CA Hamid ARAH |
| author_facet | Boentoro S Wahyudi I Mochtar CA Hamid ARAH |
| author_sort | Boentoro S |
| collection | DOAJ |
| description | Senohadi Boentoro, Irfan Wahyudi, Chaidir A Mochtar, Agus Rizal AH Hamid Department of Urology, Faculty of Medicine, Indonesia University, Jakarta, IndonesiaCorrespondence: Irfan Wahyudi Email irf.wahyudi2011@gmail.comIntroduction: Laparoscopic surgery has been acknowledged to reduce the morbidity rate thus improving patient safety. During the LLDN, the most frequent complication is renal vessels injuries, which often requires a blood transfusion. Besides the need for a blood transfusion, major bleeding caused by renal vessels injuries requires open conversion and repair. Thus, this study would like to descript and analyze the need for blood transfusion in laparoscopic living donor nephrectomy surgery in our center.Methods: We performed a retrospective cohort study in the Department of Urology at Cipto Mangunkusumo National Hospital. The records of all kidney transplantation donor patients who underwent LLDN procedures carried out at our institution from November 2011 to October 2017 were reviewed. Data including donor age, preoperative hemoglobin level, postoperative hemoglobin level, intraoperative bleeding, number of artery(ies), number of vein(s), donor side, conversion to open surgery, surgery duration, and donor BMI were collected and analyzed. These data were further correlated with the transfusion rate.Results: There were 500 patients underwent laparoscopic living donor nephrectomy procedure at our institution. All of the patients had LLDN with a transperitoneal approach. The difference in blood transfusion rate proportion between male patients with 0.9% compared to 0.6% in female patients was not significant (p=0.782). There is no significant difference in blood transfusion rate proportion regarding renal side (p=0.494), number of artery (p=0.362), age (p=0.978), BMI (p=0.569), and preoperative hemoglobin (p=0.766). Median estimated blood loss in patients who received intraoperative blood transfusion was significantly much greater than in patients who did not receive a blood transfusion (p< 0.001).Conclusion: Based on this study, we suggest that in our institution, preoperative blood products are not necessarily needed. The surgeon’s learning curve and technique play a significant role in preventing intraoperative complications and blood loss.Keywords: transfusion rate, laparoscopic living donor nephrectomy, renal transplantation |
| first_indexed | 2024-12-19T07:08:40Z |
| format | Article |
| id | doaj.art-40c0dd16e92f428a922b61274eeb7b7e |
| institution | Directory Open Access Journal |
| issn | 2253-2447 |
| language | English |
| last_indexed | 2024-12-19T07:08:40Z |
| publishDate | 2020-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research and Reports in Urology |
| spelling | doaj.art-40c0dd16e92f428a922b61274eeb7b7e2022-12-21T20:31:13ZengDove Medical PressResearch and Reports in Urology2253-24472020-01-01Volume 121551152Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 CasesBoentoro SWahyudi IMochtar CAHamid ARAHSenohadi Boentoro, Irfan Wahyudi, Chaidir A Mochtar, Agus Rizal AH Hamid Department of Urology, Faculty of Medicine, Indonesia University, Jakarta, IndonesiaCorrespondence: Irfan Wahyudi Email irf.wahyudi2011@gmail.comIntroduction: Laparoscopic surgery has been acknowledged to reduce the morbidity rate thus improving patient safety. During the LLDN, the most frequent complication is renal vessels injuries, which often requires a blood transfusion. Besides the need for a blood transfusion, major bleeding caused by renal vessels injuries requires open conversion and repair. Thus, this study would like to descript and analyze the need for blood transfusion in laparoscopic living donor nephrectomy surgery in our center.Methods: We performed a retrospective cohort study in the Department of Urology at Cipto Mangunkusumo National Hospital. The records of all kidney transplantation donor patients who underwent LLDN procedures carried out at our institution from November 2011 to October 2017 were reviewed. Data including donor age, preoperative hemoglobin level, postoperative hemoglobin level, intraoperative bleeding, number of artery(ies), number of vein(s), donor side, conversion to open surgery, surgery duration, and donor BMI were collected and analyzed. These data were further correlated with the transfusion rate.Results: There were 500 patients underwent laparoscopic living donor nephrectomy procedure at our institution. All of the patients had LLDN with a transperitoneal approach. The difference in blood transfusion rate proportion between male patients with 0.9% compared to 0.6% in female patients was not significant (p=0.782). There is no significant difference in blood transfusion rate proportion regarding renal side (p=0.494), number of artery (p=0.362), age (p=0.978), BMI (p=0.569), and preoperative hemoglobin (p=0.766). Median estimated blood loss in patients who received intraoperative blood transfusion was significantly much greater than in patients who did not receive a blood transfusion (p< 0.001).Conclusion: Based on this study, we suggest that in our institution, preoperative blood products are not necessarily needed. The surgeon’s learning curve and technique play a significant role in preventing intraoperative complications and blood loss.Keywords: transfusion rate, laparoscopic living donor nephrectomy, renal transplantationhttps://www.dovepress.com/blood-transfusions-in-laparoscopic-living-donor-nephrectomy-single-cen-peer-reviewed-article-RRUtransfusion ratelaparoscopic living donor nephrectomyrenal transplantation |
| spellingShingle | Boentoro S Wahyudi I Mochtar CA Hamid ARAH Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 Cases Research and Reports in Urology transfusion rate laparoscopic living donor nephrectomy renal transplantation |
| title | Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 Cases |
| title_full | Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 Cases |
| title_fullStr | Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 Cases |
| title_full_unstemmed | Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 Cases |
| title_short | Blood Transfusions in Laparoscopic Living Donor Nephrectomy: Single Center Experience from 500 Cases |
| title_sort | blood transfusions in laparoscopic living donor nephrectomy single center experience from 500 cases |
| topic | transfusion rate laparoscopic living donor nephrectomy renal transplantation |
| url | https://www.dovepress.com/blood-transfusions-in-laparoscopic-living-donor-nephrectomy-single-cen-peer-reviewed-article-RRU |
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