{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:09:57Z","timestamp":1790813397460,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,12,28]],"date-time":"2015-12-28T00:00:00Z","timestamp":1451260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Discussion continues about right vs. left donor nephrectomy (<jats:styled-content style=\"fixed-case\">LDN<\/jats:styled-content>). Left side is preferred due to longer renal vein while right side has been associated with renal vein thrombosis and shorter vessels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of <jats:styled-content style=\"fixed-case\">UNOS<\/jats:styled-content> database for adult living donor transplants between 1 <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2000 and 31 <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2009.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 58 599 living donor transplants, of which 86.1% were <jats:styled-content style=\"fixed-case\">LDN<\/jats:styled-content>. There were no significant differences between the recipients or donors demographics. There were higher rates of delayed graft function in right donor nephrectomy (<jats:styled-content style=\"fixed-case\">RDN<\/jats:styled-content>) recipients with a hazard risk of 1.38 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.24\u20131.53; p &lt; 0.0001). Primary failure rates were similar. In the <jats:styled-content style=\"fixed-case\">RDN<\/jats:styled-content> group, graft thrombosis as cause of graft failure was statistically higher with a hazard ratio of 1.48 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.18\u20131.86, p = 0.0004), and graft survival was significantly inferior (p = 0.006 log\u2010rank test). For living donors outcomes, the conversion from laparoscopic to open was higher in the <jats:styled-content style=\"fixed-case\">RDN<\/jats:styled-content> group with an odds ratio of 2.02 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.61\u20132.52; p &lt; 0.00001). There was no significant difference in vascular complications or re\u2010operation required due to bleeding. Re\u2010operations and re\u2010admissions were higher in the <jats:styled-content style=\"fixed-case\">LDN<\/jats:styled-content> group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There are statistical differences between left and right kidney donor nephrectomies on recipient outcomes, but the difference is extremely small. The choice and laterality should be based on center and surgeon preference and experience.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.12668","type":"journal-article","created":{"date-parts":[[2015,11,21]],"date-time":"2015-11-21T10:22:56Z","timestamp":1448101376000},"page":"145-153","source":"Crossref","is-referenced-by-count":49,"title":["Trends and outcomes in right vs. left living donor nephrectomy: an analysis of the <scp>OPTN<\/scp>\/<scp>UNOS<\/scp> database of donor and recipient outcomes \u2013 should we be doing more right\u2010sided nephrectomies?"],"prefix":"10.1111","volume":"30","author":[{"given":"Ali","family":"Khalil","sequence":"first","affiliation":[{"name":"Division of Nephrology Department of Medicine Indiana University Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad A.","family":"Mujtaba","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Indiana University Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim E.","family":"Taber","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Indiana University Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad S.","family":"Yaqub","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Indiana University Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Goggins","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery Indiana University Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Powelson","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery Indiana University Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandru","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Department of Urology Indiana University Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asif A.","family":"Sharfuddin","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Indiana University Indianapolis IN 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