Swartz D E, Cho E, Flowers J L, Dunkin B J, Ramey J R, Bartlett S T, Jarrell B, Jacobs S C
Division of General Surgery, Department of Surgery, University of Maryland, 22 South Greene Street, Baltimore, MD 21201, USA.
Surg Endosc. 2001 Dec;15(12):1390-4. doi: 10.1007/s00464-001-8135-5.
Laparoscopic donor nephrectomy (LDN) preferentially involves the left kidney to optimize vessel length, but occasionally, right nephrectomy is preferred. Right LDN differs markedly in anatomic relations and the need for a fourth port. This retrospective study compares donor outcomes and graft function of right and left LDN and describes the technique.
Consecutive patients undergoing right LDN from March 26, 1996 to December 31, 2000 were compared with those undergoing left LDN. Age, height, weight, body mass index, creatinine, creatinine clearance, operative time, warm ischemia time, analgesic requirements, serial postoperative creatinine, time to diet resumption, and hospital stay were compared. A second cohort matched for age, gender, race, and temporal left LDN also were compared with the group undergoing right LDN.
No significant differences were found for any of the parameters measured.
This study demonstrates that despite substantial differences in the procedures, donor outcome and graft survival are similar for right and left LDN.
腹腔镜供肾切除术（LDN）优先选取左肾以优化血管长度，但偶尔也会优先选择右肾切除术。右侧LDN在解剖关系和对第四个端口的需求方面有显著差异。这项回顾性研究比较了右侧和左侧LDN的供者结局及移植肾功能，并描述了该技术。
将1996年3月26日至2000年12月31日期间接受右侧LDN的连续患者与接受左侧LDN的患者进行比较。比较了年龄、身高、体重、体重指数、肌酐、肌酐清除率、手术时间、热缺血时间、镇痛需求、术后连续肌酐水平、恢复饮食时间和住院时间。还将另一组年龄、性别、种族匹配且同期接受左侧LDN的患者与接受右侧LDN的组进行了比较。
在所测量的任何参数中均未发现显著差异。
本研究表明，尽管手术存在显著差异，但右侧和左侧LDN的供者结局及移植物存活情况相似。
