Blohmé I, Gäbel H, Brynger H
Scand J Urol Nephrol Suppl. 1981;64:143-51.
During the period 1965-1980, 214 living donor nephrectomies were performed with no mortality and a major complication rate of 2.3 per cent, however, with no permanent sequelae. Longterm psychosocial problems followed five otherwise noneventful nephrectomies. An active, although not aggressive donor recruitment policy is followed. Healthy parents and siblings with HLA-identity or one-haplotype identity are accepted. Maximal efforts are made to provide optimal psychological perioperative and surgical care. Careful postoperative follow-up is pursued. A retroperitoneal approach through a subcostal transverse abdominal incision is employed, the right kidney being preferred. The low immediate and late complication rates paired with superior results of LRD transplantations, justify the continued use of volunteering relatives as kidney donors.
在1965年至1980年期间，共进行了214例活体供肾肾切除术，无一例死亡，主要并发症发生率为2.3%，不过均无永久性后遗症。另有5例肾切除术过程顺利，但术后出现了长期的心理社会问题。我们遵循积极但不过度的供体招募政策。接受HLA完全相同或单倍型相同的健康父母及兄弟姐妹作为供体。尽最大努力提供最佳的围手术期心理和手术护理。术后进行仔细的随访。采用经肋下腹部横切口的腹膜后入路，优先选取右侧肾脏。活体供肾移植较低的近期和远期并发症发生率以及较好的效果，证明继续使用志愿亲属作为肾供体是合理的。
