LIVING DONOR NEPHRECTOMY - A 20-YEAR EXPERIENCE

被引:45
作者
WAPLES, MJ [1 ]
BELZER, FO [1 ]
UEHLING, DT [1 ]
机构
[1] UNIV WISCONSIN,SCH MED,DEPT SURG,MADISON,WI
关键词
D O I
10.1016/0090-4295(95)80006-9
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives. To review the selection criteria and perioperative morbidity in patients undergoing living-related donor nephrectomy. Methods. Retrospective chart review. Results. Six hundred eighty-one patients underwent living donor nephrectomy during a 20-year period without any mortality. The postoperative morbidity included pneumothorax requiring a chest tube in 7%, urinary tract infection in 5%, wound infection in 4%, and need for blood replacement in 0.3% of patients. Two patients had clinically apparent pulmonary emboli. Conclusions. Living donor nephrectomy remains a valuable source of kidneys for transplantation but is not without risk. By using care in donor selection and surgical management, operative complications can be kept low.
引用
收藏
页码:207 / 210
页数:4
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