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：最初 23 例
DOI：
10.1097/00005392-199904020-00537
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
K. Fujita
中科院分区：
文献类型：
--
作者：
Kazuo Suzuki;A. Ishikawa;T. Ushiyama;N. Ohta;A. Suzuki;K. Fujita
自1993年3月以来，我们进行了非气体腹腔镜辅助肾切除术（GLAN）的患者与肾肿瘤，并发现这是一个有用的微创程序。我们最近还为活体肾脏捐赠者进行了GLAN。本研究的目的是评价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，我们为5例活体供肾者进行了GLAN。将手术结果和术后移植肾功能与开放性肾切除术的结果进行比较。5例GLAN手术的平均手术时间和平均失血量分别为292.8 min和185.2 ml。有没有手术或术后并发症，除了失血500毫升，在一个肥胖的捐赠者的右肾被删除。虽然手术时间较长，但供体的术后恢复明显快于开放式供体肾切除术。GLAN可能对活体肾脏捐赠者有利，因为它是微创的。然而，我们认为目前不能推荐肾周脂肪丰富的个体使用右侧GLAN。
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.