Laparoscopic living-donor nephrectomy.
Laparoscopic living-donor nephrectomy.
复制标题
腹腔镜活体肾切除术。
DOI：
10.1093/ndt/gfh1039
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
M. Giessing
中科院分区：
文献类型：
--
作者：
M. Giessing
背景
为了增加肾捐献者的数量，8年前首次进行了腹腔镜活体肾切除术（LLDN）。如今，LLDN 已成为全球许多中心的常规程序。我们回顾了有关扩大该方法的使用、供体、移植物和受体的可行性和安全性的文献。比较腹腔镜和开放式供体肾切除术，并评估 LLDN 对供体意愿的影响。
方法
1995 年至 2003 年期间的文献检索（PubMed、DIMDI、Medline）。
结果
全球有 200 多个中心执行 LLDN。这是一种可行且安全的手术方法。对于供者来说，LLDN 具有许多优势，而移植物和受者的结果与开放式方法相同。安全执行此手术的学习曲线很长，计划将 LLDN 纳入其计划的外科医生必须接受彻底的培训。有一些迹象表明，通过 LLDN，愿意捐献肾脏的捐献者数量可以增加。
结论
LLDN应用广泛并将进一步普及。在执行此手术之前，最重要的是接受一般泌尿外科的彻底腹腔镜培训。
BACKGROUND
In order to increase the number of renal donors, laparoscopic live-donor nephrectomy (LLDN) was first performed 8 years ago. Today, LLDN is a routine procedure in many centres worldwide. We reviewed the literature with regard to extend the use of this method, the feasibility and safety for donor, graft and recipient. Laparoscopic and open-donor nephrectomy are compared, and the impact of LLDN on donors' willingness is evaluated.
METHODS
Literature search (PubMed, DIMDI, Medline) for the period from 1995 to 2003.
RESULTS
More than 200 centres worldwide perform LLDN. It is a feasible and safe surgical procedure. For the donor, LLDN has numerous advantages, while graft and recipient outcome are the same as with the open approach. The learning curve on the way to performing this operation safely is long, and surgeons planning to integrate LLDN into their programme must be trained thoroughly. There are some indications that with LLDN the number of donors willing to donate a kidney can be increased.
CONCLUSIONS
LLDN is widely used and will spread further. It is of the utmost importance to undergo thorough laparoscopic training in general urology prior to performing this procedure.