Living donor nephrectomy : The French guidelines from CTAFU

Copyright © 2020 Elsevier Masson SAS. All rights reserved..

OBJECTIVE: To propose surgical recommendations for living donor nephrectomy.

METHOD: Following a systematic approach, a review of the literature (Medline) was conducted by the CTAFU regarding functional and anatomical assessment of kidney donors, including which side the kidney should be harvested from. Distinct surgical techniques and approaches were evaluated. References were considered with a predefined process to propose recommendations with the corresponding levels of evidence.

RESULTS: The recommendations clarify the legal and regulatory framework for kidney donation in France. A rigorous assessment of the donor is one of the essential prerequisites for donor safety. The impact of nephrectomy on kidney function needs to be anticipated. In case of modal vascularization of both kidneys without a relative difference in function or urologic abnormality, removal of the left kidney is the preferred choice to favor a longer vein. Mini-invasive approaches for nephrectomy provide faster donor recovery, less donor pain and shorter hospital stay than open surgery.

CONCLUSION: These French recommendations must contribute to improving surgical management of candidates for kidney donation.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie - 31(2021), 1 vom: 11. Jan., Seite 50-56

Sprache:

Französisch

Weiterer Titel:

Recommandations françaises du Comité de transplantation de l’Association française d’urologie (CTAFU) : néphrectomie pour don de rein

Beteiligte Personen:

Branchereau, J [VerfasserIn]
Prudhomme, T [VerfasserIn]
Bessede, T [VerfasserIn]
Verhoest, G [VerfasserIn]
Boissier, R [VerfasserIn]
Culty, T [VerfasserIn]
Matillon, X [VerfasserIn]
Defortescu, G [VerfasserIn]
Sallusto, F [VerfasserIn]
Terrier, N [VerfasserIn]
Drouin, S [VerfasserIn]
Karam, G [VerfasserIn]
Badet, L [VerfasserIn]
Timsit, M-O [VerfasserIn]

Links:

Volltext

Themen:

Donneur vivant
Journal Article
Laparoscopie
Living donor nephrectomy
Minimally invasive surgery
Néphrectomie
Practice Guideline
Renal transplantation
Systematic Review
Transplantation rénale

Anmerkungen:

Date Completed 02.09.2021

Date Revised 02.09.2021

published: Print

Citation Status MEDLINE

doi:

10.1016/j.purol.2020.03.012

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM319872653