Ask the Doctor
Questions about kidney disease? Risk factors? Signs and symptoms? Are you concerned about yourself, a friend or family member? Ask Dr. Spry.
General Information on Living Donation
Where Do I Start?
The Evaluation Process
Making the Decision
Financial and Insurance Issues
What to Expect After Donation
For Transplant Candidates
6. The Surgery
A kidney can be removed in either of two ways, the traditional open surgery or the laparoscopic technique. Your transplant team can provide you with information about the different types of surgery.
Some donors may not be able to have laparoscopic surgery because of previous surgeries or anatomical variations. These variations are generally detected during the testing process, in which the potential donor would be notified that they would not be a candidate for laparoscopic donation.
Some scheduled laparoscopic donations must be converted to the open technique during the surgery process.
Once all the testing has been successfully completed, the operation is scheduled. A general anesthetic is administered in the operating room. Generally, the donor and the recipient are in adjacent operating rooms. The kidney is carefully removed and transplanted into the recipient. Immediately, the donor's single kidney should take over the work previously done by the recipient's two kidneys. Typically, the surgery takes 3-5 hours with time in the recovery room recovery afterward for observation.
It is quite normal for a donor and the donor's family to have fears and concerns about potential complications. This might be felt by some as a reluctance to donate, yet it is natural reaction to a major surgery. Potential donors should speak openly with the transplant team about these fears. All conversations between the living donor and the transplant team and the results of medical testing will be kept confidential.
Both laparoscopic and open surgery have different benefits and risks, which potential donors should discuss with the transplant team.
The surgery involves the same level of risk for the donor as any other major surgery. The majority of complications following surgery are minor and may cause a longer hospitalization. The risks associated with surgery and donation should be discussed with your transplant team, and include:
Here is a graphic video of a real living kidney donor laparoscopic surgery. This video is from Medline Plus, courtesy of Sentara Norfok General Hospital in Norfolk, VA and Medline Plus, US National Library of Medicine and the National Institutes of Health. A question and Answer period about living donation follows that includes information about the recipient, living donor and surgery.
To find out if your state has authorized paid leave for living donation for state employees and or tax credits for living donors look at: http://www.transplantliving.org/livingdonation/financialaspects/statetax.aspx
Click here for detailed statistics on short-term complications from living donation (as reported to the United Network for Organ Sharing).
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