Giessing M
Department of Urology, Heinrich Heine University Hospital, Duesseldorf, Germany.
Transplant Proc. 2012 Jul-Aug;44(6):1786-9. doi: 10.1016/j.transproceed.2012.06.006.
Living kidney donation is on the rise, either due to cultural or ethical reasons or due to a lack of deceased donor kidneys. For adequately counseling of a potential living kidney donor, medical professionals must know not only the immediate risks of kidney donation but also possible long-term effects of kidney donation on the donor's physical and psychological well-being. This also includes a range of aspects such as quality of life, insurance issues, and family planning following kidney donation. This review article is based on a Medline and PubMed search and elucidates the risks living kidney donors face with regard to all aspects just mentioned. Living kidney donation does not end with the operative procedure--long-term cost-free physical and psychological follow-up should be offered to each donor for the gift he or she is willing to give to the recipient.
由于文化或伦理原因，或由于 deceased donor kidneys（此处可能有误，推测为“已故捐赠者的肾脏”）短缺，活体肾捐赠正在增加。为了对潜在的活体肾捐赠者进行充分的咨询，医学专业人员不仅必须了解肾脏捐赠的直接风险，还必须了解肾脏捐赠对捐赠者身心健康可能产生的长期影响。这还包括一系列方面，如生活质量、保险问题以及肾脏捐赠后的计划生育。这篇综述文章基于对医学文献数据库（Medline）和美国国立医学图书馆生物医学期刊数据库（PubMed）的搜索，阐明了活体肾捐赠者在上述所有方面面临的风险。活体肾捐赠并不随着手术的结束而结束——应该为每一位愿意将这份礼物给予受赠者的捐赠者提供长期的免费身体和心理随访。
