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Nephrectomy from a Living Donor

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Atlas of Organ Transplantation

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Abstract

In 2010, Ronald Herrick passed away, 56 years after becoming the first live kidney donor to facilitate a successful kidney transplant. It extended the life of his identical brother Richard by 8 years and demonstrated a proof of concept that became the basis for modern kidney transplantation. Live kidney donor (LKD) activity increased annually in the late 1990s and early 2000s owing to several factors: (1) the 1999 seminal paper by Wolfe et al., which demonstrated the life-saving role of kidney transplantation; (2) evidence of superior short-term and long-term allograft outcomes as compared with kidney transplantation with deceased donors; (3) a continuously mounting list of kidney transplant recipient candidates; and (4) the development in 1995 of a less invasive surgical technique for live donor nephrectomy (LDN). Ratner’s LDN technique mitigated some of the barriers to live donation, such as long convalescence, pain, and complications. In 2013, more than 5,700 LDNs were performed, and more than 95 % underwent nephrectomy via a laparoscopic approach.

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Author information

Authors and Affiliations

  1. Department of Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh Medical Center, Montefiore, 3459 Fifth Avenue, 7 South, Pittsburgh, PA, 15213, USA

    Mark L. Sturdevant MD

  2. Division of Transplantation, University of Minnesota, 420 Delaware St SE MMC 195, Minneapolis, MN, 55455, USA

    Raja Kandaswamy

Authors
  1. Mark L. Sturdevant MD
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  2. Raja Kandaswamy
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Correspondence to Mark L. Sturdevant MD or Raja Kandaswamy .

Editor information

Editors and Affiliations

  1. Surgery, Thomas E. Starzl Transplantation Institute, Pittsburgh, Pennsylvania, USA

    Abhinav Humar

  2. Surgery, Thomas E. Starzl Transplantation Institute, Pittsburgh, Pennsylvania, USA

    Mark L. Sturdevant

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© 2015 Springer-Verlag London

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Sturdevant, M.L., Kandaswamy, R. (2015). Nephrectomy from a Living Donor. In: Humar, A., Sturdevant, M. (eds) Atlas of Organ Transplantation. Springer, London. https://doi.org/10.1007/978-1-4471-4775-6_4

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  • DOI: https://doi.org/10.1007/978-1-4471-4775-6_4

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4774-9

  • Online ISBN: 978-1-4471-4775-6

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