Orthopedics Medical News about renal allograft

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Left versus right deceased donor renal allograft outcome
Transplant International, 11/06/09

Phelan PJ et al. – There were 47 death–censored allograft failures in the left–sided group compared to 57 in the right–sided group (P = 0.24). These observations show no difference in renal transplant outcome between the recipients of left– and right–sided deceased donor kidneys.

Exclusive Author Commentary
Paul J. Phelan, 11/06/09

It has been suggested that the left kidney is the easier kidney to transplant due to the longer length of the left renal vein facilitating formation of the venous anastamosis. There are conflicting reports of differing renal allograft outcomes based on side of donor kidney transplanted (left or right). We performed a retrospective analysis of transplanted left–right deceased donor kidney pairs between the January 1st 1998 and 31st Dec 2008. There were a total of 646 transplants performed from 323 donors. There was no significant difference in the incidence of delayed graft function, serum creatinine up to 8 years post transplantation or allograft failures in the left sided group compared to the right sided group. These observations show no difference in renal transplant outcome between the recipients of left and right-sided deceased donor kidneys.