Living donor kidney transplantation

Living donor kidney transplantation

This accounts for approximately 1000 kidney transplants annu ally in the UK, which is approximately one-third of the total renal transplant programme. Living donors may be related, unrelated, altruistic or part of a donor exchange scheme (for ABO blood g roup or HLA incompatibility). Potential live donors undergo extensive assessment that includes urine and Robert Lich Jr , urologist, Louisville, KY , USA. Willy Grégoir , Chef de Clinique Urologique, Brussels, Belgium (1962–1987). phy (if indicated) and CT angiography or MRA for the assess - ment of renal vascular anatomy . Renal function is measured by an accurate isotope GFR technique and must be above evidence-based age- and gender-specific safety thresholds for donation. Following unilateral nephrectomy , there is consid - erable compensation by the remaining kidney and donors are usually left with 70% of their predonation GFR. The mortality from donor nephrectomy is approximately 1:3000 and major morbidity occurs in <5%. Donation increases the risks of hypertension, r enal failure and pregnancy-related complications.

Muscle Mucosa Figure 88.14 Ureteric implantation by direct anastomosis to a small cystotomy: Lich–Grégoir technique.