Hello, everyone! Relative donor kidney transplantation, as a special and important kidney transplantation method, has brought hope of life to countless kidney patients. However, behind this hope, we should pay more attention to the selfless donor. So how do we protect the donor during relative donor nephrectomy?
Safe and painless operation
General anesthesia is used in relative donor nephrectomy to ensure painless operation. During anesthesia, the medical team will also fully monitor the donor’s vital signs to ensure the safety of the operation.
Ensure precise dissection and comprehensive exposure
Relative donor nephrectomy includes open nephrectomy and laparoscopic nephrectomy. Both procedures have their own advantages and disadvantages. Open surgery is safer and more reliable, but the incision is longer; laparoscopic surgery has a small incision, but the operation is slightly more difficult. The whole process of donor nephrectomy is delicate, and the most important part is the separation of the renal artery, vein and ureter. Unlike ordinary nephrectomy, the donor artery, vein and ureter are not simply separated, but also have to ensure that they are of sufficient length to facilitate the subsequent transplantation into the body of the uremia patient. Whether it is open surgery or laparoscopic surgery, reducing damage depends on precise renal anatomy and comprehensive exposure of the field of vision. Therefore, in the selection of surgical procedures, the medical team will combine the donor’s wishes and give priority to the most proficient surgical procedure to enhance controllability and reduce surgical risks.
Schematic diagram of the donor kidney being connected to the recipient. Image from http://www.beaumont.ie/kidneycentre-becomingadonor-info
Retaining a better kidney
Relative kidney transplant donors are healthy people who save others, and the medical team will protect the rights of donors as much as possible. my country’s latest clinical guidelines for living donor kidney transplantation point out that the most important considerations for the selection of kidney side and surgical method are the short-term and long-term safety of the donor, while taking into account the surgical effect of the recipient. In other words, the rights of the donor are above all else. In the selection of donor kidneys, the principle is to leave the kidney with better function to the donor, giving priority to the donor’s life safety and quality of life. When the functions of both kidneys are equivalent and there are no abnormalities, we usually choose the left kidney as the donor kidney, because the left kidney has longer blood vessels and is more suitable for transplantation. But when the donor’s right kidney function is weaker than the left kidney, the medical team will choose the right kidney as the donor kidney and retain the healthier left kidney. Existing evidence shows that kidney transplant donors have low short-term and long-term complication rates, and the risk of end-stage renal disease is no different from that of the normal population. Therefore, kidney transplantation by relatives is the best choice for patients in urgent need of transplantation. The above is all the content for today. If you think this article is useful to you, please follow, like, click to read, and share it to your circle of friends. For more popular science on kidney transplantation, we will see you next time.
