TY - JOUR
T1 - The Effect of Pneumoperitoneum on Renal Resistive Index and Renal Function in Patients Who Have Undergone Laparoscopic Living Donor Nephrectomy
T2 - A Pilot Study
AU - Ciko, Prima
AU - Widia, Fina
AU - Hamid, Agus Rizal A.H.
AU - Wahyudi, Irfan
AU - Mochtar, Chaidir A.
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Introduction: The use of low-pressure pneumoperitoneum during laparoscopic living donor nephrectomy (LLDN) was assumed to cause less renal damage compared to high-pressure pneumoperitoneum. This study aims to evaluate the effect of low vs high-pressure pneumoperitoneum during LLDN on renal function and renal resistive index (RRI), which has never been done before. Materials and Methods: The subjects were divided into 2 groups, low-pressure (8–10 mmHg) and high-pressure pneumoperitoneum (12–14 mmHg). The RRI, serum creatinine, and estimated glomerular filtration rate were measured during the perioperative period. Results: A total of 45 samples were analyzed in this study: 17 subjects in the low-pressure pneumoperitoneum group and 28 subjects in the high-pressure group. RRI levels remained within the normal range (< .80) with no significant difference observed between the 2 groups (P > .05) before surgery, intraoperatively, or post-surgery. The preoperative and postoperative serum creatinine and glomerular filtration rate were similar in both groups. Conclusions: The use of low-pressure pneumoperitoneum had no benefit compared to high-pressure pneumoperitoneum in preserving RRI and function in LLDN.
AB - Introduction: The use of low-pressure pneumoperitoneum during laparoscopic living donor nephrectomy (LLDN) was assumed to cause less renal damage compared to high-pressure pneumoperitoneum. This study aims to evaluate the effect of low vs high-pressure pneumoperitoneum during LLDN on renal function and renal resistive index (RRI), which has never been done before. Materials and Methods: The subjects were divided into 2 groups, low-pressure (8–10 mmHg) and high-pressure pneumoperitoneum (12–14 mmHg). The RRI, serum creatinine, and estimated glomerular filtration rate were measured during the perioperative period. Results: A total of 45 samples were analyzed in this study: 17 subjects in the low-pressure pneumoperitoneum group and 28 subjects in the high-pressure group. RRI levels remained within the normal range (< .80) with no significant difference observed between the 2 groups (P > .05) before surgery, intraoperatively, or post-surgery. The preoperative and postoperative serum creatinine and glomerular filtration rate were similar in both groups. Conclusions: The use of low-pressure pneumoperitoneum had no benefit compared to high-pressure pneumoperitoneum in preserving RRI and function in LLDN.
UR - http://www.scopus.com/inward/record.url?scp=85067997021&partnerID=8YFLogxK
U2 - 10.1016/j.transproceed.2019.04.045
DO - 10.1016/j.transproceed.2019.04.045
M3 - Article
AN - SCOPUS:85067997021
SN - 0041-1345
VL - 51
SP - 1727
EP - 1731
JO - Transplantation Proceedings
JF - Transplantation Proceedings
IS - 6
ER -