Category Archive: Living Donor Protections

Living Donor Protections

adrenal incidentalomas in potential kidney donors

You’re probably asking “What is an adrenal incidentaloma?” Well, I took the trouble of googling it for you, and in short, it means a lesion or mass bigger than a certain size hanging out on one’s adrenal gland. Usually, these AIs are found incidentally, during a medical scan of some sort that have nothing to …

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Left Kidney Donation Preference

During living kidney donation, the left kidney is most often taken because the right kidney rests behind the liver. In simple terms, it’s easier to access the left kidney. But it also appears that the left kidney has a longer renal vessel than the right (an important consideration that is rarely, if ever, mentioned during …

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Living Kidney Donors Over the Age of 55

The authors retrospectively analyzed 482 cases of living related kidney donation and transplantation. “The cases were divided into 2 groups by donor age > or =55 years (aged donor group, 136 cases) and <55 years (young donor group, 346 cases).” “(eGFR) was lower in the aged donor group compared with in the young donor group. After …

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Pre-Nephrectomy Kidney Volume Matters

Pre-nephrectomy (kidney removal) volume, otherwise known as parenchyma ,was measured in 75 patients who underwent the procedure from 2000-2010. “Over median follow-up of 36 months postsurgery, progression to Chronic Kidney Disease (defined as GFR less than 60) occurred in 42.6% of patients…Median time to reach CKD postnephrectomy is 12.7 (range 0.03–43.66) months for renal volume …

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OPTN Standards For Transplant Surgeons Are Too Low

This excerpt pretty much says it all: The learning curve [of a surgeon specializing in laparoscopic donor nephrectomy], defined by decreased operating time, averaged 35 cases. Improved intra-operative, patient, and recipient outcomes were observed for centers performing ?50 LDNs annually. The United Network of Organ Sharing [UNOS; in this case used as a synonym for …

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