Living donor nephrectomy: a 20-year experience

Objectives. To review the selection criteria and perioperative morbidity in patients undergoing living-related donor nephrectomy. Methods. Retrospective chart review. Results. Six hundred eighty-one patients underwent living donor nephrectomy during a 20-year period without any mortality. The postop...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 1995-02, Vol.45 (2), p.207-210
Main Authors: Waples, Mark J., Belzer, Folkert O., Uehling, David T.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Female
Humans
Male
Medical sciences
Middle Aged
Nephrectomy - adverse effects
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Tissue Donors
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Summary:Objectives. To review the selection criteria and perioperative morbidity in patients undergoing living-related donor nephrectomy. Methods. Retrospective chart review. Results. Six hundred eighty-one patients underwent living donor nephrectomy during a 20-year period without any mortality. The postoperative morbidity included pneumothorax requiring a chest tube in 7%, urinary tract infection in 5%, wound infection in 4%, and need for blood replacement in 0.3% of patients. Two patients had clinically apparent pulmonary emboli. Conclusions. Living donor nephrectomy remains a valuable source of kidneys for transplantation but is not without risk. By using care in donor selection and surgical management, operative complications can be kept low.
ISSN:0090-4295
1527-9995
DOI:10.1016/0090-4295(95)80006-9