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Procurement, Preservation and Allocation of Vascularized Organs pp 3–10Cite as

Living kidney donation: preoperative evaluation and preparation for surgery

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Abstract

Patients developing end stage renal disease can be treated by haemodialysis, peritoneal dialysis or transplantation. Kidney transplantation is now generally accepted as the primary therapy for chronic renal failure in most patients, with the exception of those who cannot tolerate immunosuppressive treatment or transplant surgery [1]. Many reasons justify the use of kidneys from living donors. Although the overall short and long term results for all donor categories have increased in recent years, transplants from living related donors have a higher success rate than those from cadaver donors [2]. In our experience with living donor transplantation since 1966, survival of kidney grafts from living donors is 20% higher at 10 years than for those from cadaver donors. The introduction of cyclosporin was responsible for increased survival of all categories of transplants. In our series this increase was 15% for cadaveric donors and 20% for living donors. The benefit was more pronounced in patients receiving kidneys from parents (+35%) and, in this category, no effect of age was observed in the long term analysis.

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Authors
  1. N. Lefrancois
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  2. J. L. Touraine
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Editor information

Editors and Affiliations

  1. Department of Transplantation, California Pacific Medical Center, San Francisco, California, USA

    G. M. Collins

  2. Transplantation Pavillon V, Hôpital Edouard Herriot, Lyon, France

    J. M. Dubernard

  3. Division of Transplant Surgery, Department of Surgery, Klinikum Grosshadern, University of Munich, Munich, Germany

    W. Land

  4. Eurotransplant Foundation, Leiden, The Netherlands

    G. G. Persijn

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© 1997 Springer Science+Business Media Dordrecht

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Lefrancois, N., Touraine, J.L. (1997). Living kidney donation: preoperative evaluation and preparation for surgery. In: Collins, G.M., Dubernard, J.M., Land, W., Persijn, G.G. (eds) Procurement, Preservation and Allocation of Vascularized Organs. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5422-2_1

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  • DOI: https://doi.org/10.1007/978-94-011-5422-2_1

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6280-0

  • Online ISBN: 978-94-011-5422-2

  • eBook Packages: Springer Book Archive

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