Early and Late Recipient Graft Function and Donor Outcome After Laparoscopic vs Open Adult Live Donor Nephrectomy for Pediatric Renal Transplantation

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Abstract
DURING THE past 4 decades, live donor renal transplantation has emerged as the treatment of choice for nearly all children with end-stage renal disease.1 Live donor transplants are associated with fewer technical graft failures, better short- and long-term function, and superior recipient growth and development than cadaver transplants.1-3 Moreover, a live donor may allow for preemptive transplantation, thus obviating dialysis access–related morbidity and the long waiting times for cadaver grafts. Hence, it is not surprising that in 1999, 52% of all kidney transplants in recipients less than 18 years of age in the United States were from live donors.4