PT  - JOURNAL ARTICLE
AU  - Rovnat Babazade
AU  - Jagan Devarajan
AU  - Anthony S. Bonavia
AU  - Youssef Saweris
AU  - Jerome O’Hara
AU  - Rafi Avitsian
AU  - Hesham Elsharkawy
TI  - Anesthetic Management and 30-Day Outcomes After Renal Autotransplantation
AID  - 10.31486/toj.19.0086
DP  - 2020 Sep 21
TA  - Ochsner Journal
PG  - 267--271
VI  - 20
IP  - 3
4099  - http://www.ochsnerjournal.org/content/20/3/267.short
4100  - http://www.ochsnerjournal.org/content/20/3/267.full
SO  - Ochsner J2020 Sep 21; 20
AB  - Background: Renal autotransplantation is a complex procedure performed for various indications such as treatment of renal vascular and urologic lesions and loin pain hematuria syndrome (LPHS). Because of the rarity of the procedure, few reports have been published, and little is known about anesthetic management and postoperative outcomes of patients with LPHS. The goal of this study was to review and describe all cases of renal autotransplantation performed at Cleveland Clinic during a specified period, focusing on anesthetic management and postoperative 30-day outcomes.Methods: We performed a retrospective review of the records of all patients who underwent renal autotransplantation from 2005 to 2014 at the Cleveland Clinic and collected demographic, anesthetic, surgical, and postoperative data.Results: A total of 64 patients underwent renal autotransplantation from 2005 to 2014. The most frequent indications were nephrolithiasis and LPHS. General endotracheal anesthesia with epidural for pain control was used in 47% of cases. Median duration of anesthesia was 528 minutes. Most patients were sent to a regular nursing floor postoperatively, but 28% of patients required intensive care unit admission. Two patients developed graft ischemia, and 1 patient developed graft failure requiring nephrectomy. No anesthetic-related complications and no mortality were associated with this procedure during the study.Conclusion: Renal autotransplantation is a safe option for patients with LPHS. Additional studies are needed to assess the effect of intraoperative anesthetic management on outcomes in this patient population.