A Comparison of Kidney Retrieval Incisions in Laparoscopic Transperitoneal Donor Nephrectomy
A Comparison of Kidney Retrieval Incisions in Laparoscopic Transperitoneal Donor Nephrectomy
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DOI：
10.1159/000151407
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发表时间：
2008-01-01
影响因子：
1.6
通讯作者：
Kumar, Anant
中科院分区：
文献类型：
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作者：
Gupta, Manu;Singh, Pratipal;Kumar, Anant
目的：比较改良髂窝切口和Pfannenstiel切口在腹腔镜供肾切除术中的取肾效果。患者和方法：从2002年1月至2006年12月，对两种不同的取肾切口进行了研究。共进行了343例腹腔镜经腹膜供体肾切除术。110个肾脏通过我们改良的髂窝切口取出，233个肾脏使用Pfannenstiel切口取出。比较两组热缺血时间、镇痛剂用量及住院时间。研究的其他参数包括切口长度、切口总数（端口和回收）以及与之相关的并发症。结果：两组热缺血时间（3 vs. 3.5 min）、平均住院时间（3.35 vs. 3.8 d）和镇痛需求相当。切口的平均长度分别为5.8和7.3 cm，发现该差异具有统计学显著性。当使用髂窝切口时，切口总数（端口和取出）为4个，而当使用Pfannenstiel切口取出肾脏时，切口总数为5个。在进行Pfannenstiel切口时，2名患者出现膀胱损伤，1名患者出现肠道损伤。与髂窝切口相关的发病率较低。结论：髂窝切口的并发症较低，而Pfannenstiel切口在美观方面得分较高。版权所有（c）2008 S. Karger AG，巴塞尔
Objective: To compare the modified iliac fossa and Pfannenstiel incisions for retrieving the kidney in laparoscopic transperitoneal donor nephrectomy. Patients and Methods: Two different incisions for retrieving the donor kidney were studied from January 2002 to December 2006. A total of 343 laparoscopic transperitoneal donor nephrectomies were performed. 110 kidneys were removed via our modified iliac fossa incision and 233 kidneys were retrieved using a Pfannenstiel incision. The warm ischemia time, analgesic requirement and hospital stay were compared. Other parameters studied were the length of incisions, total number of incisions (port and retrieval), and complications associated with them. Results: The warm ischemia time (3 vs. 3.5 min), mean hospital stay (3.35 vs. 3.8 days) and analgesic requirement were comparable. The mean length of incisions was 5.8 vs. 7.3 cm, respectively, and this difference was found to be statistically significant. The total number of incisions (port and retrieval) was 4 when the iliac fossa incision was used, whereas it was 5 when the kidney was retrieved using a Pfannenstiel incision. Two patients had bladder injury and 1 patient had bowel injury while making the Pfannenstiel incision. There was less morbidity associated with the iliac fossa incision. Conclusion: The iliac fossa incision had less morbidity whereas the Pfannenstiel incision scored in terms of cosmesis. Copyright (c) 2008 S. Karger AG, Basel