Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation · 2025
Living Donor Renal Transplant After Ex Vivo Partial Nephrectomy for Incidentally Detected Small Renal Mass: A Case Series.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Joshi Brij Mohan, Desai Pragnesh, Dwivedi Gaurav, Ranjan Satish, Kumar Anant
Аннотация
OBJECTIVES: Because of the risk of tumor implantation, a kidney with a small renal mass is not accepted as a donor in the kidney transplant program. Here, we evaluated the long-term outcomes of transplantation of kidneys with small renal mass.
MATERIALS AND METHODS: We reviewed 14 donors who had been incidentally diagnosed with a small renal mass during standard donor evaluation. All donors underwent laparoscopic donor nephrectomy followed by bench resection of the mass. The negative margins were confirmed on the frozen section.
RESULTS: On histopathological examination, 6 masses were reported as renal cell carcinoma, 4 were angiomyolipomas, 2 were oncocytoma, and 2 were papillary adenoma. After a median follow-up of 30 months, no recurrences were shown in the recipients. All recipients showed stable graft function.
CONCLUSIONS: When no other donor is available, a kidney with a small renal mass can be considered for living related kidney transplant. Bench excision of the mass was oncologically safe, with recipients having good long-term outcomes.
MATERIALS AND METHODS: We reviewed 14 donors who had been incidentally diagnosed with a small renal mass during standard donor evaluation. All donors underwent laparoscopic donor nephrectomy followed by bench resection of the mass. The negative margins were confirmed on the frozen section.
RESULTS: On histopathological examination, 6 masses were reported as renal cell carcinoma, 4 were angiomyolipomas, 2 were oncocytoma, and 2 were papillary adenoma. After a median follow-up of 30 months, no recurrences were shown in the recipients. All recipients showed stable graft function.
CONCLUSIONS: When no other donor is available, a kidney with a small renal mass can be considered for living related kidney transplant. Bench excision of the mass was oncologically safe, with recipients having good long-term outcomes.