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.
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.
Authors: Li-Ming Su; Lloyd E Ratner; Robert A Montgomery; Thomas W Jarrett; Bruce J Trock; Vladimir Sinkov; Rachel Bluebond-Langner; Louis R Kavoussi Journal: Ann Surg Date: 2004-08 Impact factor: 12.969
Authors: J L Flowers; S Jacobs; E Cho; A Morton; W F Rosenberger; D Evans; A L Imbembo; S T Bartlett Journal: Ann Surg Date: 1997-10 Impact factor: 12.969
Authors: A M D'Alessandro; H W Sollinger; S J Knechtle; M Kalayoglu; W A Kisken; D T Uehling; T D Moon; E M Messing; R C Bruskewitz; J D Pirsch Journal: Ann Surg Date: 1995-09 Impact factor: 12.969