Adult urologyQuality of life of living kidney donors: the short-form 36-item health questionnaire survey
Section snippets
Material and methods
Between 1981 and 2001, 104 living donor nephrectomies were performed at Kobe University Hospital and Nishinomiya Prefectural Hospital using the retroperitoneal flank or paramedian approach. All donors always underwent physical examination, routine biochemical blood tests, urinalysis, creatinine clearance, and renal sonography preoperatively. At 1, 2, 3, and 6 months postoperatively, we checked routine biochemical blood tests, urinalysis, and creatinine clearance. Some of the patients could be
Donor nephrectomy
The mean observation time after transplantation was 6.95 ± 4.34 years (range 0.3 to 14). The left kidney was removed from 41 donors and the right from the remaining 28. The mean operative time was 2 hours, 45 minutes (range 55 minutes to 6 hours, 5 minutes). The mean operative blood loss (as estimated by the anesthesiologist) was 299 ± 179 mL (range 20 to 810). Six complications were noted. One was a pneumothorax that did not require thorax drainage. Wound hematomas or seromas that did not need
Comment
Many reports have stated that living kidney donation appears to be safe.1, 2, 3, 4, 5 The results of our study also support the notion that kidney donation is safe, because only six minor complications (9%) were noted among the 69 donor operations. In our series, no donor death occurred. No kidneys were lost for technical reasons.
Our series did not show any significant differences from the general U.S. population in the SF-36 scores. In some categories of the SF-36 quality of life (physical
Conclusions
The mean SF-36 scores of our donors were not significantly different from those of the general U.S. population. The quality of life of living kidney donors was not affected by the donor nephrectomy, which was also considered to be safe and was confirmed as a method with few complications. Living kidney transplantation thus seems to be suitable for the rescue of patients with end-stage renal disease. However, living donors should remain under long-term follow-up.
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