Skip to main content
SpringerLink
Log in
Book cover

Laparoscopic Donor Nephrectomy pp 13–22Cite as

Preoperative General and Urologic Evaluation for Laparoscopic Donor Nephrectomy

  • Chapter
  • First Online:

  • 408 Accesses

Abstract

Living donor kidney transplantation has become an important alternative to supply the shortage of renal donation. The preparation requires a preoperative general and urologic evaluation of the donor and the recipient including medical, psychosocial and economic aspects. This process involves collaboration between multiple health care professions on the side of the donor and the recipient. A major concern to provide a safe procedure is the long-term impact of having a solitary kidney in terms of risk of developing hypertension, proteinuria, and chronic kidney disease. Recent evidence has demonstrated that survival of kidney donors is similar to that of control subjects who were matched for age, gender, and ethnicity. Overall these findings therefore indicate that the individual and the kidney life span are not adversely affected by kidney donation.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Ibrahim HN, Foley R, Tan L, Rogers T, Bailey RF, Guo H, Gross CR, Matas AJ. Long-term consequences of kidney donation. N Engl J Med. 2009;360(5):459–69.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Smith RA, Cokkinides V, Brawley OW. Cancer screening in the United States, 2012: a review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin. 2012;62(2):129–42.

    Article  PubMed  Google Scholar 

  3. Mandelbrot DA, Pavlakis M, Danovitch GM, Johnson SR, Karp SJ, Khwaja K, Hanto DW, Rodrigue JR. The medical evaluation of living kidney donors: a survey of US transplant centers. Am J Transplant. 2007;7(10):2333–43.

    Article  CAS  PubMed  Google Scholar 

  4. Pham PC, Wilkinson AH, Pham PT. Evaluation of the potential living kidney donor. Am J Kidney Dis. 2007;50(6):1043–51.

    Article  PubMed  Google Scholar 

  5. Valapour M, Kahn JP, Bailey RF, Matas AJ. Assessing elements of informed consent among living donors. Clin Transpl. 2011;25(2):185–90.

    Article  CAS  Google Scholar 

  6. Oikawa M, Hatakeyama S, Narita T, Yamamoto H, Hosogoe S, Imai A, Yoneyama T, Hashimoto Y, Koie T, Fujita T, et al. Safety and effectiveness of marginal donor in living kidney transplantation. Transplant Proc. 2016;48(3):701–5.

    Article  CAS  PubMed  Google Scholar 

  7. Penn I. The effect of immunosuppression on pre-existing cancers. Transplantation. 1993;55(4):742–7.

    Article  CAS  PubMed  Google Scholar 

  8. Gulati M, Dermendjian H, Gomez AM, Tan N, Margolis DJ, Lu DS, Gritsch HA, Raman SS. 3.0Tesla magnetic resonance angiography (MRA) for comprehensive renal evaluation of living renal donors: pilot study with computerized tomography angiography (CTA) comparison. Clin Imaging. 2016;40(3):370–7.

    Article  PubMed  Google Scholar 

  9. Engelken F, Friedersdorff F, Fuller TF, Magheli A, Budde K, Halleck F, Deger S, Liefeldt L, Hamm B, Giessing M, et al. Pre-operative assessment of living renal transplant donors with state-of-the-art imaging modalities: computed tomography angiography versus magnetic resonance angiography in 118 patients. World J Urol. 2013;31(4):983–90.

    Article  CAS  PubMed  Google Scholar 

  10. Chu LC, Sheth S, Segev DL, Montgomery RA, Fishman EK. Role of MDCT angiography in selection and presurgical planning of potential renal donors. AJR Am J Roentgenol. 2012;199(5):1035–41.

    Article  PubMed  Google Scholar 

  11. Holden A, Smith A, Dukes P, Pilmore H, Yasutomi M. Assessment of 100 live potential renal donors for laparoscopic nephrectomy with multi-detector row helical CT. Radiology. 2005;237(3):973–80.

    Article  PubMed  Google Scholar 

  12. Sebastia C, Peri L, Salvador R, Bunesch L, Revuelta I, Alcaraz A, Nicolau C. Multidetector CT of living renal donors: lessons learned from surgeons. Radiographics. 2010;30(7):1875–90.

    Article  PubMed  Google Scholar 

  13. Steel J, Dunlavy A, Friday M, Kingsley K, Brower D, Unruh M, Tan H, Shapiro R, Peltz M, Hardoby M, et al. A national survey of independent living donor advocates: the need for practice guidelines. Am J Transplant. 2012;12(8):2141–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Balachandran VP, Aull MJ, Charlton M, Afaneh C, Serur D, Leeser DB, Del Pizzo J, Kapur S. Kidneys from older living donors provide excellent intermediate-term outcomes after transplantation. Transplantation. 2012;94(5):499–505.

    Article  PubMed  Google Scholar 

  15. Fahmy LM, Massie AB, Muzaale AD, Bagnasco SM, Orandi BJ, Alejo JL, Boyarsky BJ, Anjum SK, Montgomery RA, Dagher NN, et al. Long-term renal function in living kidney donors who had histological abnormalities at donation. Transplantation. 2016;100(6):1294–8.

    Article  CAS  PubMed  Google Scholar 

  16. Praga M, Hernandez E, Herrero JC, Morales E, Revilla Y, Diaz-Gonzalez R, Rodicio JL. Influence of obesity on the appearance of proteinuria and renal insufficiency after unilateral nephrectomy. Kidney Int. 2000;58(5):2111–8.

    Article  CAS  PubMed  Google Scholar 

  17. Schold JD, Srinivas TR, Guerra G, Reed AI, Johnson RJ, Weiner ID, Oberbauer R, Harman JS, Hemming AW, Meier-Kriesche HU. A “weight-listing” paradox for candidates of renal transplantation? Am J Transplant. 2007;7(3):550–9.

    Article  CAS  PubMed  Google Scholar 

  18. Kalble T, Lucan M, Nicita G, Sells R, Burgos Revilla FJ, Wiesel M. European Association of U: EAU guidelines on renal transplantation. Eur Urol. 2005;47(2):156–66.

    Article  CAS  PubMed  Google Scholar 

  19. Ozdemir FN, Guz G, Sezer S, Arat Z, Haberal M. Ambulatory blood pressure monitoring in potential renal transplant donors. Nephrol Dial Transplant. 2000;15(7):1038–40.

    Article  CAS  PubMed  Google Scholar 

  20. Meier-Kriesche HU, Schold JD, Srinivas TR, Reed A, Kaplan B. Kidney transplantation halts cardiovascular disease progression in patients with end-stage renal disease. Am J Transplant. 2004;4(10):1662–8.

    Article  PubMed  Google Scholar 

  21. Tent H, Sanders JS, Rook M, Hofker HS, Ploeg RJ, Navis G, van der Heide JJ. Effects of preexistent hypertension on blood pressure and residual renal function after donor nephrectomy. Transplantation. 2012;93(4):412–7.

    Article  PubMed  Google Scholar 

  22. Young A, Storsley L, Garg AX, Treleaven D, Nguan CY, Cuerden MS, Karpinski M. Health outcomes for living kidney donors with isolated medical abnormalities: a systematic review. Am J Transplant. 2008;8(9):1878–90.

    Article  CAS  PubMed  Google Scholar 

  23. Levenson JL, Olbrisch ME. Psychosocial evaluation of organ transplant candidates. A comparative survey of process, criteria, and outcomes in heart, liver, and kidney transplantation. Psychosomatics. 1993;34(4):314–23.

    Article  CAS  PubMed  Google Scholar 

  24. Dobbels F, Vanhaecke J, Dupont L, Nevens F, Verleden G, Pirenne J, De Geest S. Pretransplant predictors of posttransplant adherence and clinical outcome: an evidence base for pretransplant psychosocial screening. Transplantation. 2009;87(10):1497–504.

    Article  PubMed  Google Scholar 

  25. Dols LF, Kok NF, Alwayn IP, Tran TC, Weimar W, Ijzermans JN. Laparoscopic donor nephrectomy: a plea for the right-sided approach. Transplantation. 2009;87(5):745–50.

    Article  PubMed  Google Scholar 

  26. Lind MY, Hazebroek EJ, Hop WC, Weimar W, Jaap Bonjer H, IJzermans JN. Right-sided laparoscopic live-donor nephrectomy: is reluctance still justified? Transplantation. 2002;74(7):1045–8.

    Article  PubMed  Google Scholar 

  27. Minnee RC, Bemelman WA, Maartense S, Bemelman FJ, Gouma DJ, Idu MM. Left or right kidney in hand-assisted donor nephrectomy? A randomized controlled trial. Transplantation. 2008;85(2):203–8.

    Article  PubMed  Google Scholar 

  28. Husted TL, Hanaway MJ, Thomas MJ, Woodle ES, Buell JF. Laparoscopic living donor nephrectomy for kidneys with multiple arteries. Transplant Proc. 2005;37(2):629–30.

    Article  CAS  PubMed  Google Scholar 

  29. Swartz DE, Cho E, Flowers JL, Dunkin BJ, Ramey JR, Bartlett ST, Jarrell B, Jacobs SC. Laparoscopic right donor nephrectomy: technique and comparison with left nephrectomy. Surg Endosc. 2001;15(12):1390–4.

    Article  CAS  PubMed  Google Scholar 

  30. Carter JT, Freise CE, McTaggart RA, Mahanty HD, Kang SM, Chan SH, Feng S, Roberts JP, Posselt AM. Laparoscopic procurement of kidneys with multiple renal arteries is associated with increased ureteral complications in the recipient. Am J Transplant. 2005;5(6):1312–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Renal Transplant Division, Department of Urology, Fundació Puigvert, Barcelona, Spain

    Oscar Rodriguez Faba & Alberto Breda

Authors
  1. Oscar Rodriguez Faba
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alberto Breda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alberto Breda .

Editor information

Editors and Affiliations

  1. Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

    Mahesh R. Desai

  2. Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

    Arvind P. Ganpule

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Nature Singapore Pte Ltd.

About this chapter

Cite this chapter

Faba, O.R., Breda, A. (2017). Preoperative General and Urologic Evaluation for Laparoscopic Donor Nephrectomy. In: Desai, M., Ganpule, A. (eds) Laparoscopic Donor Nephrectomy. Springer, Singapore. https://doi.org/10.1007/978-981-10-2849-6_2

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-2849-6_2

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2847-2

  • Online ISBN: 978-981-10-2849-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation