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Living donor nephrectomy. Complication rates in 490 consecutive cases
Scandinavian Journal of Urology and Nephrology
|January 1, 1992
Summary
Living donor nephrectomy is a safe procedure with acceptable short-term complications and no long-term health risks for kidney donors. This vital organ donation source should be considered due to organ shortages.
Area of Science:
- Nephrology
- Transplant Surgery
- Urology
Background:
- Living donor kidney transplantation is crucial due to cadaveric organ shortages.
- Donor nephrectomy outcomes require ongoing evaluation.
Purpose of the Study:
- To analyze short-term complications and donor renal function after living donor nephrectomy.
- To assess the safety and long-term viability of living kidney donation.
Main Methods:
- Retrospective analysis of 490 living donor nephrectomies over 25 years.
- Evaluation of complication rates, including major and minor adverse events.
- Assessment of donor renal function (GFR) at 6-12 months post-surgery.
Main Results:
- No mortality observed in 490 procedures.
- Major complication rate was 1.4% (hemorrhage, septicemia, pulmonary embolism), all resolved.
- Minor complications occurred in 13.6% (bacteriuria, infiltrates, reversible cardiac/mental disorders).
- Donors showed satisfactory renal function with a 32-38% GFR increase at 6-12 months.
Conclusions:
- Short-term consequences of donor nephrectomy are acceptable.
- Living donor nephrectomy poses no definite long-term health risks.
- Living kidney donation remains an important resource for transplantation.