Audit of an Initial 100 Cases of Laparoscopic Live Donor Nephrectomy
| Autor: | Antonio Alcaraz, Laura Izquierdo, Lluis Peri, Ricardo Alvarez-Vijande |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Time Factors medicine.medical_treatment Urinary system Nephrectomy Eating Postoperative Complications Hematoma Living Donors medicine Humans Blood Transfusion Warm Ischemia Leukocytosis Laparoscopy Aged Retrospective Studies Medical Audit Transplantation Morphine medicine.diagnostic_test Warm Ischemia Time business.industry Recovery of Function Length of Stay Middle Aged medicine.disease Kidney Transplantation Endoscopy Surgery Analgesics Opioid Outcome and Process Assessment Health Care Treatment Outcome Spain Female medicine.symptom business |
| Zdroj: | Transplantation Proceedings. 42:3437-3439 |
| ISSN: | 0041-1345 |
| Popis: | Background The objective of this study was to analyze variables related to the surgical technique and postoperative evolution of kidney donors. Materials and Methods This retrospective analysis describes 100 laparoscopic nephrectomies from living donors performed in our hospital between February 2002 and July 2007. The variables were age, family relationship, surgical time, warm ischemia time, hospital stay, oral feeding resumption, morphine use, return to work, and complications. Results The average age of the donors was 49.5 years and their male:female ratio was 1:2. The left kidney was extracted from 82% of patients. The warm ischemia time was 2.5 minutes (range = 1.09–5.10). There was only one case of multiple vessels. The surgical time was 149.5 minutes (range = 80–255). The mean hospital stay was 4.8 days (range = 1–18). Food intake was resumed after 24 hours, with morphine needed for 0.9 days. The time to return to work was 39 days (range = 7–120). The complications included kidney rupture (n = 1), liver tear (n = 1), hematoma (n = 6), including four requiring blood transfusions; fever and leukocytosis (n = 5) and one collection. No patients died as a result of the surgery. Conclusions Living-donor laparoscopic nephrectomy constitutes the gold standard among surgical options. |
| Databáze: | OpenAIRE |
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