Hand-assisted laparoscopic live donor nephrectomy
| Autor: | Mirza M. Idu, S. Surachno, Ron Balm, Willem A. Bemelman, Frederike J. Bemelman, S Maartense |
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| Přispěvatelé: | Amsterdam Cardiovascular Sciences, Surgery, Amsterdam institute for Infection and Immunity, Nephrology, Amsterdam Gastroenterology Endocrinology Metabolism |
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Adult
Graft Rejection medicine.medical_specialty medicine.medical_treatment Blood Loss Surgical Nephrectomy Transverse abdominal incision Postoperative Complications Blood loss Ischemia medicine Living Donors Humans Prospective Studies Prospective cohort study Laparoscopy Kidney transplantation Aged medicine.diagnostic_test business.industry Graft Survival Renal vein thrombosis Middle Aged medicine.disease Kidney Transplantation Surgery Endoscopy Anesthesia Feasibility Studies business |
| Zdroj: | British journal of surgery, 91(3), 344-348. John Wiley and Sons Ltd |
| ISSN: | 0007-1323 |
| Popis: | Background Hand-assisted laparoscopic donor nephrectomy (HLDN) may have advantages over laparoscopic donor nephrectomy, such as shorter learning curve, operation and warm ischaemia times. The aim of this study was to evaluate the feasibility and safety of HLDN. Methods Between January 2000 and October 2002, 50 consecutive HLDN procedures were performed through a low transverse abdominal incision, 23 right sided and 27 left sided. Results The median age of the donors was 44 years. No HLDN required conversion to an open procedure. The median operating time for HLDN was 153 min. The median warm ischaemia time was 3 (range 1·0–4·5) min and the median blood loss was 50 (range 20–500) ml in both left- and right-sided procedures. Eight patients suffered ten minor complications during their admission. The duration of hospital stay was 5 days for donors. Three recipients developed graft failure owing to acute rejection, renal vein thrombosis and ischaemic necrosis. Conclusion Both left- and right-sided HLDN procedures were feasible and safe through a low transverse abdominal incision. |
| Databáze: | OpenAIRE |
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