Open AccessEx-vivo partial nephrectomy after living donor nephrectomy: Surgical technique for expanding kidney donor pool
Author(s) -
Yaw A. Nyame,
Paurush Babbar,
Ahmed Aboumohamed,
Ryan Mori,
Stuart M. Flechner,
Charles S. Modlin
Publication year - 2017
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.198913
Subject(s) - medicine , nephrectomy , transplantation , kidney transplantation , surgery , renal replacement therapy , ex vivo , kidney , urology , in vivo , microbiology and biotechnology , biology
Renal transplantation has profound improvements in mortality, morbidity, and overall quality of life compared to renal replacement therapy. This report aims to illustrate the use of ex-vivo partial nephrectomy in a patient with a renal angiomyolipoma prior to living donor transplantation. The surgical outcomes of the donor nephrectomy and recipient transplantation are reported with 2 years of follow-up. Both the donor and recipient are healthy and without any significant comorbidities. In conclusion, urologic techniques such as partial nephrectomy can be used to expand the living donor pool in carefully selected and well informed transplant recipients. Our experience demonstrated a safe and positive outcome for both the recipient and donor, and is consistent with other reported outcomes in the literature.