Experience of donor kidney transplantation in patients with end-stage chronic renal disease

S.S. Dunaevskaya^1,2, A.A. Kosik^1,2, E.V. Kartashkov²

¹Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk

²Federal Siberian Research Clinical Center of the Federal Medical and Biological Agency, Krasnoyarsk

Kidney transplantation, which provides a high life quality to patients with end-stage chronic renal disease, is recognized worldwide as one of the main achievements of modern medicine. The article presents our experience concerning the surgical treatment of 44 patients who underwent orthotopic renal transplantation for various indications from 2018 to 2020. Kidney transplantation from a deceased donor was performed in 39 (88.6%) patients, from a living donor — in 5 (11.4%) patients. There were the following indications for kidney transplantation: end-stage renal disease in the outcome of chronic glomerulonephritis — 28 (64%) patients, polycystic kidney disease — 9 (20%) patients, diabetic nephropathy — 4 (9%) patients, chronic pyelonephritis — 3 (7%) patients. Besides, the article presents an example of successful multistage treatment of a patient with  autosomal dominant polycystic kidney disease who underwent nephrectomy after kidney transplantation. The right-sided native nephrectomy was performed as planned, while the acute pyelonephritis served as an indication for the left-sided native nephrectomy. During the surgical exploration, attention was drawn to the large kidney size, which occupied the entire left half of the abdominal cavity.

Keywords: chronic renal disease, transplantation, donor kidney, autosomal dominant polycystic kidney disease, native kidney, acute pyelonephritis.

For citation: Dunaevskaya S.S., Kosik A.A., Kartashkov E.V. Experience of donor kidney transplantation in patients with end-stage chronic renal disease. RMJ. 2021;8:11–13.