Titre
Role of intra-operative duplex ultrasound in living renal donor transplantation
Type
abstract de conférence/colloque
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Série
British Journal of Surgery
Auteur(s)
Bejic, M.
Auteure/Auteur
Deglise, S.
Auteure/Auteur
Nseir, G.
Auteure/Auteur
Saucy, F.
Auteure/Auteur
Matter, M.
Auteure/Auteur
Meuwly, J.Y.
Auteure/Auteur
Corpataux, J.M.
Auteure/Auteur
Liens vers les personnes
Titre du livre ou conférence/colloque
99th Annual Congress of the Swiss Society of Surgery
Adresse
Davos, Switzerland, June 20-22, 2012
ISBN
0007-1323
Statut éditorial
Publié
Date de publication
2012
Volume
99
Première page
20
Dernière page/numéro d’article
21
Langue
anglais
Notes
Document Type: Meeting Abstract
Résumé
Objective: The treatment of choice in end-stage renal disease is¦transplantation.¦Hemodynamic disturbances can evoke graft loss, while early ultrasound¦identification of vascular problems improves outcome. The primary endpoint¦of this study was to identify differences in post-op complications with and¦without systematic, intraoperative Doppler ultrasound use. A secondary aim¦was to find a predictive resistance index limit which would show where surgical¦reintervention was necessary.¦Methods: Between Jan 2000 and Dec 2010, 108 renal transplants were¦performed from living donors at our institution. In group 1 (n = 67),¦intra-operative duplex ultrasound and intra-parenchymatous resistance index¦measurements assessed patients, while in group 2 (n = 41), no ultrasound was¦performed.¦Results. There were no inter-group differences in the overall post-op¦complication rate or in benefit to graft or patient survival with Doppler use,¦however, significantly more vascular complications (10% vs. 0%, p = 0·02) and¦more acute rejections (37% vs. 10%) occurred in group 2 than in group 1,¦respectively. When the resistance index was <0·5 intra-operatively, immediate¦surgical revision was undertaken to raise the index >0·6.¦Results: There were no inter-group differences in the overall post-op¦complication rate or in benefit to graft or patient survival with Doppler use,¦however, significantly more vascular complications (10% vs. 0%, p = 0·02) and¦more acute rejections (37% vs. 10%) occurred in group 2 than in group 1,¦respectively. When the resistance index was <0·5 intra-operatively, immediate¦surgical revision was undertaken to raise the index >0·6.¦Conclusion: This is the first report demonstrating benefits of systematic¦intraoperative Doppler ultrasound on post-operative complications in renal¦transplantation from living donors. Our results support surgical revision with a¦resistance index <0·5.
PID Serval
serval:BIB_AC4E84A8D8E7
Date de création
2012-06-19T17:28:52.906Z
Date de création dans IRIS
2025-05-21T00:23:07Z