[Removal of kidneys from donors with circulatory arrest. A simple procedure in lessening the shortage of donor kidneys].
The increasing list of patients waiting for an organ transplantation shows clearly the shortage of donor organs at disposal. This shortage is particularly high in the field of kidney allotransplantation. As the nephrectomy in non-heart beating (NHB) donor is technically practicable in most of our hospitals, the aim of this contribution is to pass on further informations about the nephrectomy to those doctors who are interested in the procedure. The first part of the paper explains the different facts of the end staging renal disease in Switzerland and of transplantation activity. We focus then on the conditions and preparations of the nephrectomy in NHB donor, the exact technique of the operation and the organ perfusion. As it is shown by different studies, the long-term results of NHB donor kidneys are good. The nephrectomy in NHB donor is an effective method to solve kidney shortage.
Candinas
D
D
Departement Chirurgie, Klinik für Viszeralchirurgie, Universitätsspital Zürich.
Schlumpf
R
R
Decurtins
M
M
Largiadèr
F
F
D001926:Brain Death; D004992:Ethics, Medical; D006801:Humans; D016030:Kidney Transplantation; D009392:Nephrectomy / Q000379:methods*; D009926:Organ Preservation / Q000379:methods; D009927:Tissue and Organ Procurement / Q000379:methods*
Die Nierenentnahme bei Spendern mit Kreislaufstillstand. Ein einfaches Verfahren, um den Mangel an gespendeten Nieren zu verringern.