Initial experience with laparoscopic live donor nephrectomy.

Autor: Odland MD; Department of Surgery, Hennepin County Medical Center, Minneapolis, Minn 55415, USA., Ney AL, Jacobs DM, Larkin JA, Steffens EK, Kraatz JJ, Rodriguez JL
Jazyk: angličtina
Zdroj: Surgery [Surgery] 1999 Oct; Vol. 126 (4), pp. 603-6; discussion 606-7.
Abstrakt: Background: Advances in laparoscopic instruments and video technology have made laparoscopic donor nephrectomy (LDN) feasible. We report our initial experience with this technique.
Methods: A retrospective review of 30 open donor nephrectomies and our first 30 LDNs was performed to assess donor and recipient outcome and resource usage.
Results: LDN was successfully completed in 26 donors (87%). The increased operative time and costs were balanced by less postoperative pain, earlier discharge, earlier return to normal activity and work, fewer incision problems, and less personal financial loss. Recipient outcome was not affected.
Conclusion: LDN is technically feasible and safe, and recipient graft outcomes are equivalent. Convalescence is shortened, and there is less personal financial loss. LDN offers significant benefit to the donor and may result in increased organ donation.
Databáze: MEDLINE
Externí odkaz: