Experience with living related donor nephrectomy: Evaluation of 200 cases.

Abstract:

:Over a ten year period (1979 to 1989), 200 patients have undergone live donor nephrectomy through a flank extraperitoneal approach without rib resection. The average hospital stay was short and the major complications were negligible. Early graft function was seen in 97% of the cases. Delayed function due to acute tubular necrosis developed in 3%. Urinary leak was seen in 3%. Two kidneys were lost due to infection related to urinary fistulate. In 70 donors, 37 +/- 13 month's follow-up was available. Hypertension developed in two patients three and three and one-half years post donation. Significant proteinuria (>300 mg/day) was noted in one patient. No significant renal functional abnormalities were observed. Creatinine clearance was about 70% of the initial measurement at the observation time. We conclude that extraperitoneal flank live donor nephrectomy is generally safe and associated with minimal perioperative and long-term morbidity. Moreover, the procedure provides an excellent allograft function.

journal_name

Ann Saudi Med

journal_title

Annals of Saudi medicine

authors

Abomelha MS,Assari S,Shaaban A,Al-Otaibi K,Kourah M

doi

10.5144/0256-4947.1993.416

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

416-9

issue

5

eissn

0256-4947

issn

0975-4466

pii

13-416

journal_volume

13

pub_type

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