Abbou C C, Rabii R, Hoznek A, Antiphon P, Popov Z, Chopin D
Service d'urologie, faculté de médecine, hôpital Henri-Mondor, 51, avenue du Maréchal de Lattre de Tassigny, université Paris XII, 94000 Créteil, France.
Ann Urol (Paris). 2000 Oct;34(5):312-8.
The advantages of laparoscopic live donor nephrectomy are now well documented. This new approach can lower donor morbidity and could stimulate living related organ donation. We described our original operative technique and report our preliminary results.
Since 1998, we have used the retroperitoneal laparoscopy in tree related living donors. Advantages and inconvenient of this new surgical procedure were discussed with each donors and inform consent obtained. The left kidney was harvested in the three cases.
The operative time was inferior to 280 minutes, warm ischemia less than five minutes and bleeding less than 150 mL. Patients were discharged between the 2nd and 3rd post-operative days.
Retroperitoneal laparoscopy is a valuable alternative in transplant centres with skilled laparoscopic surgeons.
腹腔镜活体供肾切除术的优势现已得到充分证明。这种新方法可降低供者的发病率，并可能刺激亲属活体器官捐赠。我们描述了我们最初的手术技术并报告了初步结果。
自1998年以来，我们在三例亲属活体供者中采用了后腹腔镜技术。与每位供者讨论了这种新手术方法的优缺点，并获得了知情同意。三例均摘取左肾。
手术时间少于280分钟，热缺血时间少于5分钟，出血量少于150毫升。患者在术后第2至3天出院。
对于拥有熟练腹腔镜外科医生的移植中心来说，后腹腔镜是一种有价值的替代方法。
