This guidance relates only to living donor kidney transplantation and reflects a growing body of evidence, incorporating aspects of clinical practice that are relevant to both adult and paediatric settings. These include the ethical and medico-legal aspects of donor selection, medical and pre-operative donor evaluation, identification of high risk donors, the management of complications, and expected outcome. Scenarios that present an increased level of risk to the potential recipient, such as antibody incompatible transplantation, recurrent disease and transplantation in the context of other co-morbidities, are also included. Guidance is provided on the most appropriate investigations to be considered to assist clinical decision-making, and the best surgical approaches when faced with different clinical scenarios.
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