Clinical Observation on 100 Cases of Donor Nephrectomy

Lee, Sun Ju; Chai, Soo Eung

Abstract

Clinical observation was done on 100 cases of donor nephrectomy performed in the Department of Urology, Kyung Hee University Hospital from Aug., 1978 to June, 1988. The results were obtained as follows. 1. Among 100 patients, there was 44 men and 56 women, with age range from 4 to 75 years. 2. 88 donors had familiar relationship with recipients. Among them, 47 patients were parents of recipient, 34 were siblings and 7 were off springs. 11 patients were living unrelated onors and there was one cadaver donor. 3. Left kidneys were procured in 88 patients, and nephrectomy was performed through thoracoabdominal incision in 94 cases. 4. At postoperative 24 hours, BUN and serum creatinine levels were elevated in 4 cases and 9 cases, respectively. 5. There were no operative death but postoperative complications occurred in 23 patients. The most common complication was respiratory problem and occurred in 12 cases. Wound infection were 7, UTI were 2 and postoperative abnormal liver function were 2. 6. Among 23 patients who were follow up for more than one year, hypertension developed in 2 cases and 4 cases showed elevated serum creatinine level.