EXPERIENCE WITH LIVING-RELATED DONOR NEPHRECTOMY - EVALUATION OF 200 CASES

被引：6

作者：

ABOMELHA, MS

ASSARI, S

SHAABAN, A

ALOTAIBI, K

KOURAH, M

机构：

[1] Department of Urology, Riyadh Armed Forces Hospital, Riyadh 11159

来源：

ANNALS OF SAUDI MEDICINE | 1993年 / 13卷 / 05期

关键词：

D O I：

10.5144/0256-4947.1993.416

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 fistulae. In 70 donors, 37 +/- 23 months' 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.

引用

页码：416 / 419

页数：4

共 20 条

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