Akademik Veri Yönetim Sistemi
Yeni Üroloji Dergisi, cilt.16, sa.2, ss.178-183, 2021 (Hakemli Dergi)
Objective: There are many studies on kidney transplant anesthesia, there is not enough data in the literature in terms of intraoperative param- eters according to the donor type. In this study, we aimed to compare the intraoperative hemo- dynamic parameters in adult patients who un- derwent living-donor and deceased-donor kidney transplantation (KT). Material and Methods: The patients who underwent KT were divided into 2 groups ac- cording to the donor kidney type. Recipients who underwent deceased donor transplantation were included in the study as Group 1. Among the liv- ing donor kidney transplant recipients, the same number of patients with similar demographic data as Group 1 were designated as Group 2. Both groups were compared in terms of recorded data and intraoperative hemodynamic parameters. Results: Twenty-four patients were included in the study. The mean durations of dialysis were 81.6 ± 64.8 and 16.8 ± 17.4 months for Group 1 and Group 2, respectively (p = 0.001). The mean cold ischemia time was significantly longer in Group 1 than Group 2 (p = 0.001). The mean op- erative urine output for Group 1 and Group 2 were 87.3 ± 149.6 and 634.2 ± 534.5, respectively (p = 0.002). Mean arterial pressure, heart rate, periph- eral oxygen saturation and CVP values were all comparable between the two groups. Conclusion: Cold ischemia time is longer and operative urine volume is lower in deceased donor transplants compared to living donor transplants. With good preoperative preparation, close intra- operative follow-up, and proper fluid management, similar intra- operative hemodynamic parameters are achieved in both types of donor recipients.