Cadeddu J A, Ratner L, Kavoussi L R
Department of Urology, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA.
Semin Laparosc Surg. 2000 Sep;7(3):195-9.
Live donor renal transplantation provides significant advantages when compared with cadaveric renal transplantation. Unfortunately, there are disincentives associated with donation including prolonged hospitalization, significant postoperative pain, and prolonged convalescence. With the advent of laparoscopic donor nephrectomy, there has been an increase in live donation at centers performing the procedure secondary. Incentives provided by laparoscopic donation include a reduction in hospital stay, less postoperative analgesic requirements, and an earlier return to normal daily activities. Most importantly, graft function and survival are equivalent to open live donation. Laparoscopic donor nephrectomy is evolving to become the preferred method of procuring living donor kidneys.
与尸体肾移植相比，活体供肾肾移植具有显著优势。不幸的是，捐赠存在一些不利因素，包括住院时间延长、术后疼痛剧烈和恢复期延长。随着腹腔镜供肾切除术的出现，在开展该手术的中心，活体肾移植的数量有所增加。腹腔镜供肾切除术的优势包括缩短住院时间、减少术后镇痛需求以及更早恢复正常日常活动。最重要的是，移植肾功能和存活率与开放性活体肾移植相当。腹腔镜供肾切除术正逐渐成为获取活体供肾的首选方法。
