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Review
. 2020 Nov;91(11):918-925.
doi: 10.1007/s00104-020-01224-5.

[Living donor kidney transplantation]

[Article in German]
Affiliations
Review

[Living donor kidney transplantation]

[Article in German]
Robert Öllinger et al. Chirurg. 2020 Nov.

Abstract

Background: Due to the discrepancy between the increasing need of kidneys for transplantation and the continuously low numbers of brain dead donors, the possibility of living donor kidney transplantation is gaining importance.

Objective: The indications and evaluation of donors in living donor kidney transplantation were investigated.

Material and methods: The statistics of the German Organ Transplantation Foundation (DSO) were evaluated. The fundamental references in the literature and expert opinions are discussed.

Results and conclusion: Living donor kidney transplantation is an excellent option for patients with end-stage kidney failure. A thorough evaluation of potential donors and their aftercare is indispensable. There is a great potential to expand the living donor programs.

Zusammenfassung: HINTERGRUND: Aufgrund der Diskrepanz zwischen der Anzahl zunehmend benötigter Nieren zur Transplantation und der fortbestehend niedrigen Zahlen hirntoter Spender gewinnt die Möglichkeit zur Nierenlebendspende an Bedeutung.

Fragestellung: Untersucht werden Indikation und Spenderevaluierung bei der Nierenlebendspende.

Material und methoden: Hierzu wurden die Statistiken der Deutschen Stiftung Organtransplantation (DSO) ausgewertet. Die Grundlagenarbeiten und Expertenempfehlungen werden diskutiert.

Ergebnisse und schlussfolgerung: Die Nierenlebendspende stellt eine exzellente Option für Patienten mit terminaler Niereninsuffizienz dar. Eine sorgfältige Abklärung potenzieller Spender und deren Nachsorge ist unabdingbar. Es besteht großes Potenzial zur Ausweitung von Lebendspendeprogrammen.

Keywords: AB0-incompatible transplantation; Donor aftercare; Donor evaluation; Indications; Minimally invasive nephrectomy.

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References

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