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The left kidney is preferred for live donation.

In open live
donor nephrectomy, the right kidney is selected if the left
kidney has multiple renal arteries or anomalous venous
drainage. With laparoscopic live donor nephrectomy
(LLDN), there is reluctance to procure the right kidney
because of the more difficult exposure and further
shortening of the right renal vein (RRV) after a stapled
transection. An experience with LLDN is reviewed to
determine whether the right kidney should be procured
laparoscopically.
The number of patients in need of renal transplants
continues to increase dramatically each year and,
consequently.
The left kidney is preferred in laparoscopic donor
nephrectomies at our institution the length of the renal
vein is optimized.
Qatar is one of the few countries in the region offering
integrated organ transplantation services and on the
basis of a single unified national waiting list. The humane
and equitable nature of our service is something we can
feThe living related kidney donation has increased as well
and we are now preparing 18 living related donors for
donation to their family membersthis is a result of the
diligent implementation of the strategic, ethical and
moral guidelines depicted by the Doha Donation Accord,
and the Organ Donation Campaign that HMC is leadingel
justly proud of."

Organ transplantation is considered as the definitive and


the most cost-effective treatment for end-stage organ
disease among the kidney, liver, lung and heart patients.

Traditionally kidneys have been harvested from donors


via a loin incision with partial
resection of the twelfth rib, which placed a considerable
burden on the donors in terms of
post-operative pain, absence from work, and morbidity.
Laparoscopic live donor nephrectomy developed in 1995,
promised to reduce these burdens
on the donors and reduce some of the disincentives to
kidney donation. Benefits and risks of live kidney
donation
The benefits of live kidney donation are11:
1) The need for cadaveric donor kidneys far exceeding
the supply.
2) The better kidney quality from living donors due to
shorter ischaemia time, the lack of
agonal phase and cytokines release that follow brain
death.
3) The continuing improved results of kidney transplants
from living donors in

comparison with those from cadaveric donors in the cyclosporine era also. This
appears to be true also for kidney transplants from unrelated living donors in spite
of
often complete incompatibility with recipients.
4) Pre-emptive transplantation, based on living donors, not only avoids the risks,
cost and
inconvenience of dialysis, but is also associated with better graft survival than
transplantation after a period of dialysis, particularly within the live donor cohort.
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Its risks are:
1) A healthy individual has to undergo a major operative procedure, and is exposed
to
the associated mortality and morbidity of a donor nephrectomy.
2) Long-term follow-up in kidney donors has shown that mild, non progressive
proteinuria develops in about 33% and that the frequency of hypertension may
increase12.
3) Kidneys procured from live donors do not possess a Carrel aortic patch, which
makes
them technically more challenging to implant.
4) Financial loss to both the donor and the employer from time off work.
5) The ethical issues associated with donation, particularly from individuals without
purely altruistic intentions. (dissert 2)

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