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The e-mémoires of the Académie Nationale de Chirurgie

Should the risk of renal tumor be considered in related living donors? A case of renal oncocytoma thirty years after living donation.

RICHARD F | BITKER MO | CHATELAIN C | BARROU B | JACOB S | VAN GLABEKE E | KUSS R

Seance of wednesday 15 december 2004 (pas de sujet Principal)

Abstract

Discussion about kidney transplantation from living donors hasrecently focused on the future of donors. It seems now proven thatunilateral nephrectomy has no deleterious effect on kidney functioneven after a very long follow-up. Very few papers are dealing withoccurrence of surgical diseases on a solitary kidney after nephrectomyfor living donation. The authors report on the case of a kidneytumor on the remaining kidney thirty years after living donation.Nephron sparing surgery with a follow-up of 6 years has givenexcellent result with a normal renal function. As far as we knowthere is no similar case reported. This case emphasizes the role of acareful follow-up of patients having had a nephrectomy for livingdonation and the good results obtained by nephron sparing surgeryin this very particular case.