[Kidney procurement and transplantation from a surgical perspective].
Kidney transplantation is the best therapeutic option in many patients with end-stage renal disease, because it significantly increases lifespan over that of patients who remain on dialysis. Because of organ shortage the average waiting time for a suitable kidney in Germany is about four years after the onset of dialysis treatment. Currently about 80% of all transplanted kidneys are obtained from brain-dead patients. The possibility for kidney transplantation after living donation reduces the minimum waiting time to a few weeks. An optimized organizational strategy as well as donor and recipient preparation are possible in living donation, resulting in excellent transplant quality and a short cold-ischemia time. Pre-emptive kidney transplantation after living donation is an attractive treatment option without the need for previous dialysis and is also an option for children. The excellent long-term results after kidney transplantation have been caused by improvement of operative technique, organizational strategy, donor preparation, postoperative care and, in particular, immunosuppression.
Heuer
M
M
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Essen, Universität Duisburg-Essen.
Frühauf
N R
NR
Treckmann
J
J
Witzke
O
O
Paul
A
A
Kaiser
G M
GM
D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016030:Kidney Transplantation; D019520:Living Donors / Q000706:statistics & numerical data / Q000600:supply & distribution; D011182:Postoperative Care / Q000592:standards*; D006435:Renal Dialysis; D012307:Risk Factors; D009927:Tissue and Organ Procurement / Q000379:methods* / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014850:Waiting Lists
D007166:Immunosuppressive Agents