Causes of Failure to Transplant Cadaveric Human Organs

摘要

The failure to transplant harvested cadaver kidneys represents a lost opportunityfor someone waiting a kidney transplant as well as additional costs to the end stage renal disease program. The study examined the level of organ loss and the reasons for those losses. Twenty-five organ procurement organizations participated in a one year tracking of all cadaver kidneys for 1988. This represented one-half of all harvested cadaver kidneys for that year. Data were collected on 3,503 kidneys, of which 181 were discarded, a loss rate of 5.2 percent. The major reasons for discard were donor or organ pathology (29 percent), anatomic abnormalities (17 percent), surgical complications (11 percent), positive cultures (11 percent), and organ injury prior to nephrectomy (9 percent). Despite room for some improvement, some kidney wastage is an inevitable result of an aggressive organ procurement policy.