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Kidney recovery from the multiple organ donor
The Urologic Clinics of North America
|August 1, 1985
Summary
Urologists can obtain quality kidneys during multiple organ procurement by understanding donor principles. Sacrificing kidneys from these donors is unacceptable, as outcomes remain comparable to kidney-only donors.
Area of Science:
- Transplantation Surgery
- Organ Procurement
- Urology
Background:
- Urologists performing renal procurement benefit from understanding multi-organ procurement principles.
- Recipient needs, particularly for heart, lung, and liver transplants, must be prioritized.
Purpose of the Study:
- To emphasize the importance of preserving kidneys during multi-organ procurement.
- To address the practice of sacrificing kidneys from multi-organ donors.
Main Methods:
- Review of surgical principles in multi-organ procurement.
- Analysis of kidney wastage rates and outcomes from multi-organ donors.
Main Results:
- Kidney wastage rates from multi-organ donors are low.
- Initial nonfunction rates (acute tubular necrosis) are comparable to kidney-only donors (~10%).
Conclusions:
- Kidneys should not be routinely sacrificed during multi-organ procurement.
- Careful surgical techniques and cooperation ensure continued kidney availability for transplantation.