Minimal incision living donor nephrectomy compared to the hand-assisted laparoscopic living donor nephrectomy.

Autor: Greenstein MA; Department of Urology, Albert Einstein Medical Center, 5401 Old York Road, Philadelphia, PA 19141, USA. docmarcg@comcast.net, Harkaway R, Badosa F, Ginsberg P, Yang SL
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2003 May; Vol. 20 (6), pp. 356-9. Date of Electronic Publication: 2003 Feb 07.
DOI: 10.1007/s00345-002-0310-3
Abstrakt: Background: There has been a surge of minimally invasive procedures for living donor nephrectomy. We compared our minimal incision living donor (MILD) nephrectomy to hand-assisted laparoscopic (HAL) living donor nephrectomy
Methods: We conducted a Medline search and compared our first 45 MILD nephrectomies to the data from the University of Michigan (UM), Tulane University (TU), and the University of Chicago (UC).
Results: The MILD incision was smaller than the cumulative incisions in the UM and UC groups (8.6, 11 and 10.4 cm, respectively). The operating times were similar in the UM and UC groups (209, 246, and 215 min, respectively). The UM and TU lengths of hospital stay (1.8 and 2.2 days) were shorter than those of the MILD and UC groups (2.5 and 2.8 days).
Conclusions: MILD nephrectomy has results similar to those of HAL living donor nephrectomy. It allows the surgeon with a traditionally trained background to perform a safe, minimally invasive operation without laparoscopic technology.
Databáze: MEDLINE
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