Live kidney donors Urological and Genital Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients aged >18 years of age undergoing live donor hand-assisted laparoscopic nephrectomy eligible to participate 2. Consent to participate given 3. English-speaking or appropriate translation facilities to allow for consent to be valid 4. Living donor transplant in Western Infirmary, Glasgow 5. Transplant taking place between dates of the trial
Exclusion criteria
Exclusion criteria: 1. Patients undergoing open nephrectomy 2. Patients unable/unwilling to consent
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Day 1 change in donor N-GAL from baseline 2. Donor renal function (serum creatinine and eGFR) day 1-4, week 6 and 1 year, as is standard procedure 3. Donor BNP (Day -1, Day 0, Day 1) 4. Recipient change in N-GAL from baseline 5. Recipient serum creatinine and eGFR at 6 weeks and 1 year 6. Delayed graft function (DGF) – defined as use of dialysis in the first week postoperatively 7. 1-year graft and patient survival in recipient 8. Intraoperative haemodynamics (including blood pressure, heart rate, stroke volume, cardiac index and systemic vascular resistance index) and response to fluid challenge 9. N-GAL levels in blood obtained from renal vein during retrieval and implantation surgery 10. Perioperative mortality 11. Perioperative fluid balance 12. Perioperative complications (including cardiorespiratory complications, time to first bowel motion, infective complications, length of hospital stay, readmission) 13. Donor sleep quality | — |
Primary
| Measure | Time frame |
|---|---|
| Day +1 acute kidney injury (as measured by N-GAL) | — |
Countries
United Kingdom