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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
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Renal Transplantation and Outcome
Roberto Manfredini1, Massimo Gallerani2, Alfredo De Giorgi1
11 Department of Medical Sciences, Clinica Medica Unit, School of Medicine, University of Ferrara, Ferrara, Italy.
Progress in Transplantation (Aliso Viejo, Calif.)
|September 14, 2016
Summary
Nighttime renal transplantation surgery does not appear to affect graft survival. However, some studies indicate increased complication risks, suggesting increased caution for nighttime procedures.
Area of Science:
- Nephrology
- Transplant Surgery
- Surgical Outcomes
Background:
- Emergency surgery is a known risk factor for mortality and complications.
- Renal transplantation is a critical procedure with potential for complications.
Purpose of the Study:
- To evaluate the impact of daytime versus nighttime renal transplantation surgery on patient outcomes.
- To synthesize existing literature on the safety and efficacy of renal transplant timing.
Main Methods:
- A systematic literature search was conducted on the PubMed database.
- Keywords included: renal, transplantation, surgery, daytime, nighttime, and outcome.
- Five studies encompassing 6,991 adult patients receiving deceased donor transplants were analyzed.
Main Results:
- Graft survival rates were not significantly different between daytime and nighttime renal transplantation.
- Two of the five studies reported a higher incidence of postoperative complications following nighttime surgery.
- No definitive negative impact on graft survival was observed based on the time of surgery.
Conclusions:
- Nighttime renal transplantation is a viable option when deceased donors become available.
- Increased vigilance and caution may be warranted during nighttime procedures to mitigate potential complications.
- Further research could explore specific strategies to minimize risks associated with nighttime transplant surgeries.
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