Notes

Slide Show

Outline

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2	Deceased and Live Donor Transplants Australia 2000 - 2004
3	Source of Live Donor Kidney Australia 1996 - 2004
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5	Road deaths in NSW 1970 - 1996
6	LIVING DONOR KIDNEY TRANSPLANTATION
7	LIVING DONOR KIDNEY TRANSPLANTATION
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9	Donor advocate Does the donor really want to donate a kidney? Is it safe for both the donor and the recipient?
10	Safety factors infection and malignancy kidney function cardiovascular fitness hypertension diabetes obesity kidney stones anatomical considerations
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14	Left or right kidney
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16	Living Kidney Donation
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20	Open living donor nephrectomy surgery 120 min pain hospital 3 -10 days employment 8 weeks satisfaction 85%
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22	LAPAROSCOPIC donor nephrectomy Less invasive procedure Less post-operative pain Shorter hospitalisation Better cosmetic result Earlier return to manual work
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27	Laparoscopic donor nephrectomy at Westmead
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29	Laparoscopic Vs Open Donor Nephrectomy ANZDATA Review All live donor transplants Mar 1997 – Sept 2003 Follow-up for 6 months
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31	Survival for all kidneys 1998-2003
32	RACS recommendation on LLDN It is recommended that laparoscopic live donor nephrectomy be cautiously introduced to Renal Transplant Units on two provisos. that the skills exist there is a commitment to perform 10 - 20 of these cases per year in order to gain the necessary experience and report on the results.
33	Kidney transplants in NSW – in 2004
34	LIVING KIDNEY DONATION Procedure of necessity Inversely proportional to cadaver donor availability Attitude of clinicians Availability of surgeons Influenced by local publicity