| 篇名 |
Hand-Assisted Laparoscopic Live Donor Nephrectomy Versus the Conventional Open Approach |
| 作者 |
Chuan-Shu Chen, Chung-Kuang Su, Kun-Yuan Chiu, Yen-Chuan Ou, Hao-Chung Ho, Chen-Li Cheng, Wen-Ming Chen, Chi-Rei Yang |
| 卷期/出版年月 |
36卷6期 (2003/12) |
| 頁次 |
268-273 |
| 摘要 |
Objective: Hand-assisted laparoscopic live donor nephrectomy is an emerging technique in the field of renal transplantation. We report our initial experience in applying this technique and make a comparison with open live donor nephrectomy.
Methods: We retrospectively reviewed the medical records of 15 patients receivinglive donor nephrectomy from Feb 1998 to Dec 2002. Among them, 4 patients received hand-assisted live donor nephrectomy and the other 11 patients received a conventional open live donor nephrectomy.
Results: In the hand-assisted laparoscopic group and open group, the mean operation time was 322 minutes and 216 minutes(p<0.0002), mean intro-operative blood loss was 87 mal and 290 ml (p=0.001), mean postoperative hospital stay was 4.7 days and 7.7 days (p<0.0001), and mean warm ischemic time was 248 seconds and 95 seconds (p<0.001) respectively. The donor postoperative oral intake, preoperative serum creatinine, postoperative serum creatinine and recipient postoperative initial graft function in the two groups were not statistically different.
Conclusions: Although taking more operation time, hand-assisted laparoscopic live donor nephrectomy is a safe procedure and it has definite advantages for donors, including less intraoperative blood loss, shorter length of postoperative hospital stay and early convalescence. |
| 關鍵詞 |
hand-assisted, laparoscopy, donor nephrectomy |
| 分類 |
Original Articles |
