Lloyd E. Ratner, MD; Robert A. Montgomery, PhD, MD; Louis R. Kavoussi, MD
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Ratner LE, Montgomery RA, Kavoussi LR. Solid Organ Transplantation. Ann Intern Med. 1999;131:478. doi: 10.7326/0003-4819-131-6-199909210-00026
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Published: Ann Intern Med. 1999;131(6):478.
TO THE EDITOR
The Currents story on solid organ transplantation (1) briefly discusses laparoscopic live donor nephrectomy. Several points were inaccurate or misleading, and the article did not clearly define the impetus for the development of the laparoscopic live donor operation.
This operation was designed to address the financial and logistical disincentives to live kidney donation. Prolonged recuperative time, pain, and cosmetic results can all be disincentives. Our series have shown that when the open flank approach is used, the mean (±SD) time to return to full activities was 6.2 ± 3.2 weeks and the mean time to return to employment was 6.3 ± 3.3; for patients with physically demanding jobs, the mean time to return to employment was 8.0 ± 4.0 weeks (2). In many instances, donors are asked to forgo approximately 10% of their annual income; experience significant pain; and pay out-of-pocket expenses for travel, housing, and child care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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