[Recovery characteristic of donor's and receptor's renal function from age over 55 years living donors donate kidneys].
OBJECTIVE
To observe and research clinical characteristics and curative effect and safety of renal transplantation from living elderly donors donating kidneys.


METHODS
Retrospective study on the 19 living kidney donors who were over 55 years old and on the renal transplantation operations completed by our center for the past few years. Among the 19 donors, with an average age of 58 years old. Their mean creatinine clearance was 81.7 +/- 2.2 ml/min. Among the 19 acceptors, with an average age of 34 years old. All kidney before the open circulation transplant performed routine 0 point puncture and histological examination.


RESULTS
All donors smoothly spent their perioperative period without any surgical complications. All the donors keep their blood Cr in a normal range one week after the operation. There was no significant difference between posttransplantation one week and six month and one year in blood Cr and Ccr. Blood pressure and blood sugar didn't not have significant changes, urine protein(-). All receptors' renal functions recovered in early stages without DGF. 7 receptors who had Ccr lower than 80 ml/min had their blood Cr decreased slowly. Among the 19 kidneys donated, 3 donors' glomerulosclerosises were higher than 10 percent.


CONCLUSIONS
The kidney source shortage is the main factor that restricts the development of the renal transplantation currently, undoubtedly, the application of elderly donors will expand the kidney source and save more uremic patients. Renal transplantation is safe and feasible with the help of living elderly donors.
Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. huxp@medmail.com.cn
Xiao-Peng
XP
Hu
Hang
H
Yin
Xiao-Dong
XD
Zhang
Wei
W
Wang
Liang
L
Ren
Xiao-Yong
XY
Yang
Xiao-Bei
XB
Li
Hang
H
Liu
Yong
Y
Wang
D000367:Age Factors; D000368:Aged; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000534:rehabilitation*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D014019:Tissue Donors