[The outcome of the living donor].
There is no zero risk of morbi-mortality for the donor in the procedure of living donation of a kidney but according to the literature, this risk is extremely low. Mortality in the per- et peri-operative period is estimated to be 0.03% and severe postoperative complications, requiring or not surgery, between 0.3 and 1%. The long-term mortality of these donors, selected for their good health, is better than that of the general population paired for age. Renal function after donation is around 75% the predonation and declines with age as and no more than in every person with two kidneys. Although significant proteinuria (>1gr/l) in 3% of the donors and cases of end stage renal disease have been reported, the renal risk remains low. Among the parameters of follow-up, a special consideration has to be made for blood pressure as it will significantly increase after nephrectomy with a possible risk of developing hypertension in predisposed persons.
Hourmant
Maryvonne
M
Service de néphrologie et d'immunologie clinique, CHU de Nantes, 44093 Nantes cedex, France. maryvonne.hourmant@chu-nantes.fr
D006801:Humans; D016030:Kidney Transplantation; D019520:Living Donors; D009392:Nephrectomy; D011379:Prognosis