Kidney transplantation: A new era of laparoscopic living donor nephrectomy in Indonesia
| Autor: | Agus Rizal Ardy Hariandy Hamid, Albertus Marcelino, Irfan Wahyudi, Chaidir Arif Mochtar |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent lcsh:Surgery 030232 urology & nephrology Transplant Warm Ischemic Time Nephrectomy Living donor Living donor nephrectomy Young Adult 03 medical and health sciences 0302 clinical medicine Blood loss Outcome Assessment Health Care Living Donors medicine Humans Laparoscopy Kidney transplantation Retrospective Studies 030505 public health medicine.diagnostic_test business.industry lcsh:RD1-811 Middle Aged medicine.disease Kidney Transplantation Surgery Open case Transplantation Indonesia Female 0305 other medical science business |
| Zdroj: | Asian Journal of Surgery, Vol 41, Iss 1, Pp 55-58 (2018) |
| ISSN: | 1015-9584 |
| DOI: | 10.1016/j.asjsur.2017.02.010 |
| Popis: | Summary Background Since its introduction in 1995, laparoscopic living donor nephrectomy (LLDN) has been a standard procedure in many transplantation centers worldwide. In 2011, LLDN was performed for the first time in Indonesia and became a standard procedure at our institution. The aim of this study is to evaluate the first 250 cases of LLDN at our institution. Methods Retrospective analyses were conducted of the first 250 cases of LLDN. All operations were performed between November 2011 and July 2015 at Cipto Mangunkusumo Hospital, Jakarta. We grouped each 100 consecutive cases and the last 50 cases (three groups) to evaluate operation-related parameters, and complications. Results Significant decreases in the first warm ischemic time, blood loss, length of stay, and number of complications were observed among the three groups. There was only one conversion to open case during LLDN surgery and no mortality case observed. Conclusion Laparoscopic living donor nephrectomies had been performed successfully with improvement of surgical parameter in due time. Thus, laparoscopic approach has entered a new era for kidney procurement in Indonesia. |
| Databáze: | OpenAIRE |
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