Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations

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Yeni Üroloji Dergisi, vol.16, no.2, pp.178-183, 2021 (Peer-Reviewed Journal) identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 2
  • Publication Date: 2021
  • Doi Number: 10.33719/yud.2021;16-2-850725
  • Journal Name: Yeni Üroloji Dergisi
  • Journal Indexes: Central & Eastern European Academic Source (CEEAS), Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.178-183
  • Istanbul Medipol University Affiliated: Yes


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.