Abstract
A 70-year-old healthy male individual offered to undergo a living donor hand-assisted laparoscopic nephrectomy to enable kidney transplantation for a close relative. As required for all living transplant donor candidates, extensive screening was performed to exclude potential contraindications for donation. Tests revealed a situs inversus totalis, meaning a complete transposition of the thoracic and abdominal organs in the sagittal plane. As other contraindications for living kidney donation were absent, the feasibility of this procedure was determined multidisciplinary. A successful donation procedure was performed without surgical complications for the donor and good short-term transplant outcomes. In line with current developments that have resulted in more liberal criteria for potential living kidney donors, major anatomical deviations should not automatically be a contraindication. With multidisciplinary efforts and thorough surgical preparation at a high-volume transplant centre, this procedure is feasible and safe.
Original language | English |
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Article number | 233523 |
Number of pages | 4 |
Journal | BMJ Case Reports |
Volume | 13 |
Issue number | 1 |
DOIs | |
Publication status | Published - 22-Jan-2020 |
Keywords
- transplantation
- surgery
- renal medicine
- renal transplantation
- RENAL DONORS
- KIDNEY
- TRANSPLANTATION
- OUTCOMES
- PATIENT