http://www.atcmeetingabstracts.com/abstract/residual-renal-function-in-living-kidney-donors-does-remaining-kidney-volume-matter/Residual Renal Function in Living Kidney Donors: Does Remaining Kidney Volume Matter?
A. Diez, C. Sundaram, M. Mujtaba, T. Taber, M. Yaqub, D. Mishler, J. Powelson, W. Goggins, A. Sharfuddin
Background:It is generally accepted that in living kidney donor nephrectomy for transplantation, the donor should remain with the larger kidney volume if possible. It has been proposed that donor nephron mass is associated with recipient graft function. We thus conversely studied if there is any correlation of remaining kidney volume (RKV) in donors with post-donation residual donor renal function (RRF)
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Conclusions: There appears to be a correlation of remaining kidney donor volume with RRF, along with a correlation of anthropometric measures and RRF. As with recipients, remaining nephron mass as measured by a surrogate marker of remaining kidney volume can be a predictor of residual donor renal function. Hence every attempt should be made to leave the donor with the larger volume kidney.