Living donor paired-kidney exchange transplantation: A single institution experience

Introduction : Paired-kidney exchange (PKE) is used in western countries to increase donor pool. In India, there are not many centers involved in PKE program. We present 10 years of this experience and outcome of the recipients. Materials and Methods : Between year 2000 and 2009, 34 transplants wi...

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Main Authors: Pranjal Modi, S J Rizvi, Bipinchandra Pal, Raghuvir Baradwaj, Sandeep Gupta, Veena Shah, Manisha Modi, Pankaj Shah, Hargovind Trivedi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=4;spage=511;epage=514;aulast=Modi
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author Pranjal Modi
S J Rizvi
Bipinchandra Pal
Raghuvir Baradwaj
Sandeep Gupta
Veena Shah
Manisha Modi
Pankaj Shah
Hargovind Trivedi
author_facet Pranjal Modi
S J Rizvi
Bipinchandra Pal
Raghuvir Baradwaj
Sandeep Gupta
Veena Shah
Manisha Modi
Pankaj Shah
Hargovind Trivedi
author_sort Pranjal Modi
collection DOAJ
description Introduction : Paired-kidney exchange (PKE) is used in western countries to increase donor pool. In India, there are not many centers involved in PKE program. We present 10 years of this experience and outcome of the recipients. Materials and Methods : Between year 2000 and 2009, 34 transplants with PKE were performed. All donors were live related, and permission from Authorization committee(s) from one or more states was obtained prior to transplantation. Both donor and recipient surgeries were carried out simultaneously in all cases at a single institution. Last 10 donors were offered laparoscopic donor nephrectomy and all other previous donors were operated by open surgery. Results : Five donor−recipient pairs were from the state of Rajasthan, one from Madhya Pradesh, and all others from Gujarat. ABO incompatibility between donor and recipient was present in 12 pairs and positive lymphocyte cross-match in 5 pairs. Conclusion : Paired-kidney-exchange transplantation expands donor pool and total number of transplantation.
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spelling doaj.art-8eb5f359f829483d8d0f5295d2f0a5b32022-12-21T22:24:51ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242010-01-0126451151410.4103/0970-1591.74446Living donor paired-kidney exchange transplantation: A single institution experiencePranjal ModiS J RizviBipinchandra PalRaghuvir BaradwajSandeep GuptaVeena ShahManisha ModiPankaj ShahHargovind TrivediIntroduction : Paired-kidney exchange (PKE) is used in western countries to increase donor pool. In India, there are not many centers involved in PKE program. We present 10 years of this experience and outcome of the recipients. Materials and Methods : Between year 2000 and 2009, 34 transplants with PKE were performed. All donors were live related, and permission from Authorization committee(s) from one or more states was obtained prior to transplantation. Both donor and recipient surgeries were carried out simultaneously in all cases at a single institution. Last 10 donors were offered laparoscopic donor nephrectomy and all other previous donors were operated by open surgery. Results : Five donor−recipient pairs were from the state of Rajasthan, one from Madhya Pradesh, and all others from Gujarat. ABO incompatibility between donor and recipient was present in 12 pairs and positive lymphocyte cross-match in 5 pairs. Conclusion : Paired-kidney-exchange transplantation expands donor pool and total number of transplantation.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=4;spage=511;epage=514;aulast=ModiDonorkidneylaparoscopynephrectomytransplantation
spellingShingle Pranjal Modi
S J Rizvi
Bipinchandra Pal
Raghuvir Baradwaj
Sandeep Gupta
Veena Shah
Manisha Modi
Pankaj Shah
Hargovind Trivedi
Living donor paired-kidney exchange transplantation: A single institution experience
Indian Journal of Urology
Donor
kidney
laparoscopy
nephrectomy
transplantation
title Living donor paired-kidney exchange transplantation: A single institution experience
title_full Living donor paired-kidney exchange transplantation: A single institution experience
title_fullStr Living donor paired-kidney exchange transplantation: A single institution experience
title_full_unstemmed Living donor paired-kidney exchange transplantation: A single institution experience
title_short Living donor paired-kidney exchange transplantation: A single institution experience
title_sort living donor paired kidney exchange transplantation a single institution experience
topic Donor
kidney
laparoscopy
nephrectomy
transplantation
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=4;spage=511;epage=514;aulast=Modi
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