Vasconcelos Vladimir Tonello de, Katayama Rafael Cauê, Ribeiro Maria Flavia de Lima, Medina-Pestana José Osmar, Baptista-Silva José Carlos Costa
Department of Surgery, Hospital do Rim e Hipertensão, Universidade Federal de São Paulo, São Paulo, Brazil.
Sao Paulo Med J. 2007 Jul 5;125(4):223-5. doi: 10.1590/s1516-31802007000400006.
The present study was performed to measure kidney weight and volume among living donors of both sexes in Brazil.
This was a cross-sectional survey carried out between December 2001 and August 2004.
Kidney transplantations from 219 living donors were analyzed for this study. The kidneys were weighed in grams on a single-pan digital balance just after drainage of the perfusion fluid and removal of the perirenal fat. The kidney volume was determined in milliliters by water displacement.
The mean age at nephroureterectomy was 44 +/- 9.5. The donor organs came from the left side in 172 cases and from the right side in 47 cases. The weights and volumes of the right and left kidneys were, respectively, 169.83 +/- 29.91 g and 157.38 +/- 31.84 ml; and 173.00 +/- 33.52 g and 160.34 +/- 34.40 ml. The differences between the sides were not significant.
According to the present study, kidney weight cannot be the only factor determining the side on which nephroureterectomy is performed, because of the lack of statistical significance between the two sides. On average, females donate lower nephron doses than males do, which could in some transplants result in allograft damage.
本研究旨在测量巴西男女活体供肾者的肾脏重量和体积。
这是一项于2001年12月至2004年8月开展的横断面调查。
本研究分析了219例活体供肾者的肾脏移植情况。在灌注液引流及肾周脂肪清除后,立即用单盘电子天平以克为单位称量肾脏重量。通过水置换法以毫升为单位测定肾脏体积。
肾输尿管切除术时的平均年龄为44±9.5岁。供肾器官来自左侧172例,来自右侧47例。右肾和左肾的重量及体积分别为169.83±29.91克和157.38±31.84毫升;以及173.00±33.52克和160.34±34.40毫升。两侧之间的差异无统计学意义。
根据本研究,由于两侧之间缺乏统计学意义,肾脏重量不能成为决定行肾输尿管切除术侧别的唯一因素。平均而言,女性捐献的肾单位剂量低于男性,这在某些移植中可能导致同种异体移植物损伤。