Autor: |
Maher, Abdessater, Cécile M, Champy, José Batista, da Costa, Jean, Courcier, René, Yiou, Andras, Hoznek, Dimitri, Vordos, Philippe, Grimbert, Marie, Matignon, Tiphanie, Londero, Philippe, le Corvoisier, Laurent, Salomon, Alexandre, De la Taille, Alexandre, Ingels |
Rok vydání: |
2020 |
Předmět: |
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Zdroj: |
World journal of urology. 39(7) |
ISSN: |
1433-8726 |
Popis: |
To compare different extractions routes for robot-assisted living donor nephrectomy in terms of post-operative pain and renal function recovery.Live donor kidney transplantation data from our institution were reviewed from November 2011 to March 2017. Postoperative pain was estimated using cumulative painkillers consumption. Variables were compared between the 3 groups with ANOVA for continuous data, χSixty-three RLDN were performed (23 iliac, 23 vaginal and 17 umbilical extractions). There was no significant difference between the three groups in terms of operative time, blood lost, warm ischemia time, cumulative painkiller consumption and renal function recovery time. Postoperative complications for Umbilical, Vaginal and Iliac were, respectively, of 0, 3 and 1. No major difference was found between the 3 groups beside a slightly longer hospital stay in the iliac group.Iliac incision might impact post-operative pain with a moderate but significant longer hospital stay. Vaginal extraction is an option when cosmetic outcomes present a real demand. The three options appeared to be safe and should be discussed with the patient in regard of the surgeon experience. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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