Effect of Warm Ischemia on Graft Outcome in Laparoscopic Donor Nephrectomy

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Abstract
Purpose: To assess the impact of warm ischemia time (WIT) on delayed graft function (DGF), graft loss, and graft function in laparoscopic donor nephrectomy (LDN). Patients and Methods: We prospectively studied 100 kidney recipients from LDN donors from 2001 to 2003. For comparison of graft outcome with different extents of WIT, recipients were divided into three groups: group A received kidneys having 4 to 6 minutes, group B kidneys having >6 to 10 minutes, and group C kidneys having >10 minutes of WIT. The median follow-up was 415 days (range 11–791) days. Results: The mean kidney WIT was 8.7 minutes (range 4–17 minutes). Graft outcome (DGF, graft loss, and median serum creatinine) was not significantly different in the three groups. Conclusions: Different extents of WIT in LDN, within the range of our study, were not associated with an adverse outcome in kidney transplantation.