During the
evaluation of a donor candidate for living kidney donation, occasionally a
concomitant benign abdominal disease is diagnosed. Combining organ donation and
surgical treatment of that disease could be beneficial to the donor.
This paper
quantified the additional risk to the donor if the two operations were
combined. Study design: The clinical database of 155 academic medical
centers and affiliated hospitals of University HealthSystem Consortium was
used to predict the minimum expected surgical risk of a combined laparoscopic
cholecystectomy and laparoscopic donor nephrectomy.
Results: Our
model predicted that a minimum of 8.64% of patients undergoing laparoscopic
cholecystectomy at the same time as a donor nephrectomy would experience at
least one complication. This represents an increase of 2.3% (relative
risk=1.24) from the 6.34% risk for patients undergoing only the
cholecystectomy.
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