Kidneys with small renal masses: Can they be utilized for kidney transplantation in the era of partial nephrectomy?

Özet

Objective: To retrospectively evaluate our database to determine our partial nephrectomy and radical nephrectomy rates and to see percentage of the discarded kidneys which were suitable for transplantation afterradical nephrectomy.Material and methods: Patients who underwent radical or partial nephrectomy between January 2000 andDecember 2016 were identified. Only stage I tumors according to tumor, node, metastasis classification wereincluded in this review. Tumor size, location, proximity to renal collecting system and hilum were considered while deciding the suitability of a kidney for transplantation.Results: A statistically significant gradual increase in the number of patients treated with partial nephrectomy was observed (p=0.00001). Only 17 out of 181 kidneys with a tumor size smaller than 3 cm could bean appropriate candidate for a renal transplantation if they were to be transplanted.Conclusion: Exact number of the discarded kidneys with small renal masses which can be used for kidneytransplantation should be determined by large scale studies. A national or governmental policy may only bedeveloped to utilize these discarded organs after the magnitude of the wasted kidneys can be determined.