Effect of Donor Surgeon on Flrst Cadaver Kidney” Transplant Function

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Abstract
Community urologists and general surgeons were recruited into a [human] cadaver kidney program in 1976. This study from 1 center compares 41 primary cadaver kidney grafts retrieved by community hospital retrieval teams to 60 primary cadaver kidney grafts retrieved by a center-based transplant team. Of the kidneys 100 were preserved with Collins'' C2 flushing followed by simple cold storage and 1 was preserved with pulsatile machine perfusion. Cold storage time ranged from 9-44.5 h in the community hospital kidney group and from 11-44 h in the university hospital group. There was no significant difference between the 2 kidney retrieval teams with respect to incidence of acute tubular necrosis, 1-mo. serum creatinine nadir of surviving grafts, 1 and 2-yr serum creatinine levels and actuarial graft survivals up to 5 yr. Community hospital retrieval teams can provide kidneys as satisfactory for transplantation as a center-based transplant team and are a valuable resource for cadaver kidney transplant programs.