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21 May 2009

Early postoperative complications of expanded criteria living kidney donors’ nephrectomies

R Kieszek, M Bieniasz, P Domagała, J Gozdowska, A Kwiatkowski, L Adadyński, J Trzebicki, M Durlik, L Pączek, A Chmura

Ann Transplant 2009; 14(1): 58-58 :: ID: 880411


Background: Organs from living donors with expanded criteria (ECLD) are one of the ways to increase the number of transplantations. There is no comprehensive definition of this status. The aim of this study was to analyse early postoperative complications of living kidney donors' with expanded criteria versus optimal donors' postoperative complications.
Material/Methods: The records of 76 living donors were reviewed. Those
included age, BMI, hypertension, lipid disorders as the major risk factors (2
points each), gout, nephrolithiasis, nephrocysts, renal disorders in the family
diabetes, smoking history, HBC and HCV infections, venous thromboembolism, mental health disorders and vascular abnormalities as minor risk factors (1 point each). Patients were divided into two groups, optimal patients (0-5 points) and expanded criteria patients (6 points and more). There were 69 patients in the first group, 7 patients in the second group.
Results: There were three patients with diagnosed complications in the expanded criteria group (42.8%), and twenty two patients with diagnosed complication in the optimal group (OLD) (31.9%).
Conclusions: Nephrectomy in living kidney donors with expanded criteria is safe and there is no higher risk of early postoperative complications.

Keywords: Kidney Transplantation, Living Donors

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358