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Laparoscopic Live Donor Nephrectomy

  • David J. Hernandez
  • Adam W. Levinson
  • Li-Ming Su
Part of the Current Clinical Urology book series (CCU)

Abstract

Renal transplantation is acknowledged as the preferred method of renal replacement therapy, offering significant advantages for individuals with end-stage renal disease (ESRD) as compared to dialysis. In addition to improved overall survival and quality of life, renal transplantation remains the most cost-effective treatment; in fact, it remains one of the most cost-effective therapies in health care (1). Due to the aging population, increasing frequency of predisposing conditions such as diabetes and hypertension as well as improved life-expectancy resulting from enhanced medical management of patients with ESRD, the incidence and prevalence of ESRD have increased dramatically. As a result, the growing number of patients with ESRD who would benefit from transplantation has overwhelmed the supply of cadaveric donor kidneys. The United Network for Organ Sharing (UNOS) and the Organ Procurement and Transplantation Network (OPTN) estimate that the number of patients awaiting transplantation in the United States will increase by approximately 3,000 per year (2,3). Thus, the gap between supply and demand for renal allografts continues to grow such that 72,942 candidates are currently on the waiting list for a kidney and 48,176 (66%) have been on the list for over a year (3). Though expanded criteria for cadaveric organs including using extremes of age and double kidney donation has increased supply, it still falls short of the continually increasing demand.

Key Words

laparoscopy living donor nephrectomy transplantation 

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Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • David J. Hernandez
    • 1
  • Adam W. Levinson
    • 1
  • Li-Ming Su
    • 1
  1. 1.James Buchanan Brady Urological InstituteJohns Hopkins Medical InstitutionsBaltimoreUSA

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