Introduction of hand-assisted retroperitoneoscopic living donor nephrectorny at Karolinska University Hospital Huddinge
Introduction of hand-assisted retroperitoneoscopic living donor nephrectorny at Karolinska University Hospital Huddinge
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DOI：
10.1016/j.transproceed.2006.07.042
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发表时间：
2006-10-01
影响因子：
0.9
通讯作者：
Ericzon, B. -G.
中科院分区：
文献类型：
--
作者：
Gjertsen, H.;Sandberg, A. -K. A.;Ericzon, B. -G.
活体供肾移植约占我中心肾移植总数的50%。从1999年至2005年，75/220活体供肾切除术进行了腹腔镜技术（LLDN）。在2005年6月，我们引进了手辅助后腹腔镜肾切除术（HARS）的技术，活体供肾。自引入至2005年底，18例活体供肾切除术（LDN）中有11例采用HARS进行。与LLDN组（平均244分钟）相比，HARS组（平均166分钟）的手术时间缩短。两个移植物显示延迟功能，一个在LLND组，一个在HARS组。在HARS组中未观察到重大围手术期或术后并发症，而1例接受LLDN的患者发生了重度胰腺炎。到目前为止，在我们手中，HARS是一种快速安全的手术，其结果与开放式LDN相当。与LLDN相比，我们经历了手术时间缩短以及腹膜后通路的优势。
Living donor kidney transplantation accounts for about 50% of the total number of renal transplantations at our center. From 1999 through 2005, 75 out of 220 living donor nephrectornies were performed with a laparoscopic technique (LLDN). In June 2005, we introduced the technique of hand-assisted retroperitoneoscopic nephrectomy (HARS) for living donors. Since the introduction until the end of 2005, 11 out of 18 living donor nephrectomies (LDN) were performed with HARS. Reduced operation time was observed for the HARS group (mean, 166 minutes) compared with the LLDN (mean, 244 minutes). Two grafts showed delayed function, one in the LLND group and one in the HARS group. No major perioperative or postoperative complications were observed in the HARS group, whereas one patient who underwent LLDN developed severe pancreatitis. So far in our hands HARS is a fast and safe procedure with results comparable with open LDN. Compared to LLDN, we experienced reduced operation time together with the advantage of retroperitoneal access.