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One hundred consecutive living kidney donors: modern issues and outcomes
Author(s) -
Peters Thomas G,
Repper Suzanne M,
Vincent Mia C,
Schonberg Colleen A,
Jones Kenneth W,
Cruz Ivan,
Charlton Ronald K,
McCullough Christopher S,
Hunter Richard D
Publication year - 2002
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1034/j.1399-0012.16.s7.10.x
Subject(s) - medicine , donation , nausea , vomiting , surgery , kidney donation , kidney , kidney transplantation , transplantation , economics , economic growth
In order to define current issues and outcomes of living kidney donation, 100 consecutive living donors operated on between July 1996 and March 2001 were evaluated. The 64 women and 36 men ranged in age from 19 to 72 yr (mean 42.5 yr), and 65 were related to the recipient while 35 were unrelated donors. Hospital admission the morning of surgery and use of a minimal open approach to the donor kidney were standard, as were post‐operative epidural pain control and plans for short hospital stay. The 100 donors were hospitalized for 2 (25), 3 (48), 4 (18), 5 (8), or 6 (1) days, with an average length of stay of 3.12 d (range 2–6 d). The mean charge for kidney donor hospitalization was $14 470 (range $9671–22 808). There were no major intra or immediate post‐operative complications. Six rehospitalizations occurred for post‐donation nausea, vomiting, dehydration ( n = 2); spinal headache; pneumonia and wound haematoma; and late wound reexploration (one hernia and one nerve entrapment). All donors returned to pre‐operative functional status within 6 d to 6 wk of donation. All kidneys functioned immediately in the 100 recipients (50 women, 50 men) who averaged 46.6 yr of age (range 17–69 yr); recipient length of stay averaged 3.81 d (range 2–15 d). All donors survived in excellent health; recipient graft and patient survival, respectively, are 87 and 90% through the entire 5‐yr period. Excellent long‐term outcomes for living kidney donors may be accomplished using minimal open surgical technique, post‐operative epidural pain control and plans for a brief hospitalization. Expansion of living donor resources in renal transplant programs may grow as unrelated kidney donation and non‐directed donation as well as minimally invasive (open and laparoscopic) techniques evolve.