[Living donor nephrectomy: The French guidelines from CTAFU].
Recommandations françaises du Comité de transplantation de l’Association française d’urologie (CTAFU) : néphrectomie pour don de rein.
Donneur vivant
Laparoscopie
Living donor nephrectomy
Minimally invasive surgery
Néphrectomie
Renal transplantation
Transplantation rénale
Journal
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
ISSN: 1166-7087
Titre abrégé: Prog Urol
Pays: France
ID NLM: 9307844
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
29
02
2020
revised:
30
03
2020
accepted:
31
03
2020
entrez:
11
1
2021
pubmed:
12
1
2021
medline:
3
9
2021
Statut:
ppublish
Résumé
To propose surgical recommendations for living donor nephrectomy. 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. 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. These French recommendations must contribute to improving surgical management of candidates for kidney donation.
Identifiants
pubmed: 33423748
pii: S1166-7087(20)30679-5
doi: 10.1016/j.purol.2020.03.012
pii:
doi:
Types de publication
Journal Article
Practice Guideline
Systematic Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
50-56Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.