Gasless laparoscopy-assisted live donor nephrectomy: the initial 23 cases.
Gasless laparoscopy-assisted live donor nephrectomy: the initial 23 cases.
复制标题
无气腹腔镜辅助活体供肾切除术：初始 23 例。
DOI：
10.1016/s0041-1345(00)00983-0
复制
发表时间：
2000
影响因子：
0.9
通讯作者：
K. Fujita
中科院分区：
文献类型：
--
作者：
Kazuo Suzuki;Akira Ishikawa;T. Ushiyama;Nobutaka Ohta;Akihiko Suzuki;K. Fujita
自1993年3月以来，我们已经为肾肿瘤患者进行了无气腹腹腔镜辅助肾切除术（GLAN），并发现这是一种有用的微创手术。我们最近也为活体肾脏捐赠者进行了GLAN。本研究的目的是评估GLAN在活体肾移植中的疗效，并比较GLAN和开放供肾切除术的结果。自1995年3月以来，我们已经为5名活体肾脏捐赠者进行了GLAN。将手术结果及术后移植物功能与开放肾切除术供体进行比较。5种GLAN手术的平均手术时间和平均出血量分别为292.8 min和185.2 ml。除一名右肾切除的肥胖供体失血500毫升外，无手术或术后并发症。虽然手术时间较长，但供体术后恢复明显快于开放供肾切除术。GLAN对于活体肾供者是有利的，因为它是微创的。然而，我们认为右侧GLAN目前不能推荐给肾周脂肪丰富的个体。
Since March 1993, we have performed gasless laparoscopy-assisted nephrectomy (GLAN) for patients with renal tumours and have found that it is a useful minimally invasive procedure. We have recently also performed GLAN for living kidney donors. The objectives of the present study were to evaluate the efficacy of GLAN for living kidney transplantation and to compare the results of GLAN and open donor nephrectomy. Since March 1995, we have performed GLAN for five living kidney donors. The surgical outcome and the post-operative graft function were compared with the results for donors operated on by open nephrectomy. The mean operating time and mean blood loss were 292.8 min and 185.2 ml in the five GLAN procedures. There were no operative or post-operative complications apart from blood loss of 500 ml in one obese donor whose right kidney was removed. Although the operating time was longer, the post-operative recovery of the donors was significantly more rapid than with open donor nephrectomy. GLAN could be advantageous for living kidney donors since it is minimally invasive. However, we feel that right-sided GLAN cannot currently be recommended in individuals with abundant perinephric fat.