title: Experience with living related donor nephrectomy: Evaluation of 200 cases.
abstract: Over a ten year period (1979 to 1989), 200 patients have undergone live donor nephrectomy through a flank extraperitoneal approach without rib resection. The average hospital stay was short and the major complications were negligible. Early graft function was seen in 97% of the cases. Delayed function due to acute tubular necrosis developed in 3%. Urinary leak was seen in 3%. Two kidneys were lost due to infection related to urinary fistulate. In 70 donors, 37 +/- 13 month's follow-up was available. Hypertension developed in two patients three and three and one-half years post donation. Significant proteinuria (>300 mg/day) was noted in one patient. No significant renal functional abnormalities were observed. Creatinine clearance was about 70% of the initial measurement at the observation time. We conclude that extraperitoneal flank live donor nephrectomy is generally safe and associated with minimal perioperative and long-term morbidity. Moreover, the procedure provides an excellent allograft function.
authors.affiliation: Department of Urology, Riyadh Armed Forces Hospital, Riyadh, Saudi Arabia.
authors.forename: M S
authors.initials: MS
authors.lastname: Abomelha
authors.forename: S
authors.initials: S
authors.lastname: Assari
authors.forename: A
authors.initials: A
authors.lastname: Shaaban
authors.forename: K
authors.initials: K
authors.lastname: Al-Otaibi
authors.forename: M
authors.initials: M
authors.lastname: Kourah