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Renal transplantation using a kidney with a large benign cyst
J A Schulak1, L A Matthews, D E Hricik
1University Hospitals of Cleveland, Department of Surgery, Case Western Reserve University School of Medicine, Ohio 44106, USA.
Transplantation
|March 15, 1997
Summary
A mother successfully donated a kidney with a large benign cyst to her daughter. This living donor kidney transplant demonstrated excellent long-term renal function for both individuals.
Area of Science:
- Nephrology
- Transplant Surgery
- Urology
Background:
- Kidney transplantation is a vital treatment for end-stage renal disease.
- The use of kidneys with pre-existing cysts for transplantation is often debated due to potential risks.
- Evaluating the safety and efficacy of transplanting cystic kidneys is crucial for expanding donor pools.
Observation:
- A 53-year-old living kidney donor presented with a large 4-cm benign-appearing cyst on computed tomography.
- The cyst was confirmed as benign via intraoperative frozen-section histology.
- The kidney was successfully transplanted from mother to daughter.
Findings:
- The living donor kidney transplant involving a large benign cyst was technically successful.
- Both donor and recipient maintained satisfactory renal function three years post-transplantation.
- Histological examination confirmed the benign nature of the renal cyst.
Implications:
- This case supports the successful transplantation of kidneys with large benign cysts.
- It suggests that careful pre-operative assessment and intraoperative evaluation can ensure graft safety.
- The findings may encourage the consideration of more cystic kidneys for transplantation, potentially increasing organ availability.