Abstract
Kidney transplantation is the best treatment for chronic renal failure patient (CRF), because in this treatment the patient will have normal life and also it is more cost effective than other methods for treatment of CRF. One of the major problems with the kidney transplantation is shortage of the kidney donor. Besides deceased donor, live kidney donors (related and unrelated) are selected for solving the problem of kidney donor shortage. Two approaches are used for removing kidney from live donors including: open nephrectomy and laparoscopic nephrectomy. The short stay at hospital is mentioned as one of the advantages of laparoscopic donor nephrectomy that is a factor for increasing live donor volunteer. At our center, we studied the issue: how long is the time of hospital stay of the kidney donor who has been operated as open nephrectomy and is it different with that reported for laparoscopic donor nephrectomy? Methods: The time of hospital stay of 326 kidney donors (35 females, 291 males) post operation have been studied as retrospectively at kidney transplant center of Imam Reza hospital from 2005 to 2011. Results: In 326 kidney donors, 48 donors after second day of operation, 276 donors after third day of operation, one donor after eight day of operation, and one donor after sixth day of operation had been discharged from the hospital, for all the kidney donors the operation had been done through trans flank incision and retroperitoneal and without the rib resection. Conclusion: In this study, considering the hospital staying time of open nephrectomy donors, it is understood that nearly one hundred percent of donors had been discharged from the hospital until third day of operation so it seems that the hospital stay of the open nephrectomy donors are comparable with the reported time for hospital stay of laparoscopic nephrectomy donors.
Highlights
Kidney replacement is the method of choice for chronic renal failure patient [1] because in this treatment approach the patient has a normal life style, from economic standpoint it is cost effective [2]
In 326 kidney donors, 48 donors after second day of operation, 276 donors after third day of operation, one donor after eight day of operation, and one donor after sixth day of operation had been discharged from the hospital, for all the kidney donors the operation had been done through trans flank incision and retroperitoneal and without the rib resection
In this study, considering the hospital staying time of open nephrectomy donors, it is understood that nearly one hundred percent of donors had been discharged from the hospital until third day of operation so it seems that the hospital stay of the open nephrectomy donors are comparable with the reported time for hospital stay of laparoscopic nephrectomy donors
Summary
Kidney replacement is the method of choice for chronic renal failure patient [1] because in this treatment approach the patient has a normal life style, from economic standpoint it is cost effective [2]. The graft survival of the deceased donor is lower than the live donor. The graft half-life for living donor is approximately 20 years, and the graft half-life for deceased donor is 12 years, in the deceased donor delayed graft function (DGF) is more common than live donor and DGF has direct effect at lowering graft survival [3]. The Laparoscopic donor nephrectomy has been introduced for increasing the volunteers for kidney donation because it is supposed that with the laparoscopic procedure the donor will be safe and with less stay time at hospital and will have less pain (advantages), long time of anesthesia and long time of warm ischemia and technology dependent are disadvantages of the laparoscopic donor nephrectomy. We designed to study the stay time of the donors in the hospital post open operation at our kidney transplant center in which almost all of the donors are live donors
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
