Acute kidney injury and the compensation of kidney function after nephrectomy in living donation

doi:10.5500/wjt.v12.i8.223

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World Journal of Transplantation

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World J Transplant. Aug 18, 2022; 12(8): 223-230
Published online Aug 18, 2022. doi: 10.5500/wjt.v12.i8.223

Acute kidney injury and the compensation of kidney function after nephrectomy in living donation

Kenji Okumura, Holly Grace, Hiroshi Sogawa, Shigeyoshi Yamanaga

Kenji Okumura, Hiroshi Sogawa, Department of Surgery, Westchester Medical Center/New York Medical College, Valhalla, NY 10595, United States

Holly Grace, Department of Surgery, New York Medical College, Valhalla, NY 10595, United States

Shigeyoshi Yamanaga, Department of Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto 861-8520, Japan

Author contributions: Okumura K and Yamanaga S designed the study, wrote the initial draft of the manuscript; Okumura K, Grace H, Sogawa H and Yamanaga S critically reviewed and revised the manuscript; and all authors approved the final version of the manuscript.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Corresponding author: Kenji Okumura, MD, Doctor, Department of Surgery, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY 10595, United States. kenji.okumura@wmchealth.org

Received: January 16, 2022
Peer-review started: January 16, 2022
First decision: March 16, 2022
Revised: March 27, 2022
Accepted: August 6, 2022
Article in press: August 6, 2022
Published online: August 18, 2022
Processing time: 213 Days and 23.7 Hours

Abstract

Acute kidney injury (AKI) incidence is growing rapidly, and AKI is one of the predictors of inpatient mortality. After nephrectomy, all the patients have decreased kidney function with AKI and recover from AKI. However, the characteristic and behavior of AKI is different from usual AKI and compensatory kidney function has been well known in the postoperative setting, especially in living donors. In this review, we have focused on the compensation of kidney function after nephrectomy in living donors. We discuss factors that have been identified as being associated with kidney recovery in donors including age, sex, body mass index, remnant kidney volume, estimated glomerular filtration rate, and various comorbidities.

Keywords: Acute kidney injury; Kidney transplant donor; Compensation; Kidney function

Core Tip: Acute kidney injury (AKI) incidence is growing rapidly, and AKI is one of the predictors of inpatient mortality. The characteristic and behavior of AKI is different from usual AKI and compensatory kidney function has been well known in the postoperative setting, especially in living donors. In this review, we have focused on the compensation of kidney function after nephrectomy in living donors. We discuss factors of compensation of kidney function after nephrectomy.