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腹腔镜活体供肾切除术:肾移植的一项进展?

Laparoscopic live donor nephrectomy: a step forward in kidney transplantation?

作者信息

Skrekas George, Papalois Vassilios E, Mitsis Michail, Hakim Nadey S

机构信息

Transplant Unit, St. Mary's Hospital, London, UK.

出版信息

JSLS. 2003 Jul-Sep;7(3):197-206.

PMID:14558706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3113198/
Abstract

Open donor nephrectomy for live donor kidney transplantation is a safe procedure that has been used for more than 30 years with excellent results. Laparoscopic donor nephrectomy is a relatively new technique that has the potential of decreased postoperative pain, less incisional morbidity, and shorter recovery time. Furthermore, it has been reported that this potentially less traumatic approach increases the number of potential live donors. This review article focuses on the currently used laparoscopic techniques in live kidney donation as well as the controversy regarding its efficacy, safety, and future.

摘要

开放供体肾切除术用于活体供肾移植是一种安全的手术,已使用30多年,效果良好。腹腔镜供体肾切除术是一种相对较新的技术,具有术后疼痛减轻、切口并发症减少和恢复时间缩短的潜力。此外,据报道,这种潜在创伤较小的方法增加了潜在活体供体的数量。这篇综述文章重点关注目前在活体肾捐赠中使用的腹腔镜技术,以及关于其疗效、安全性和未来的争议。

相似文献

1
Laparoscopic live donor nephrectomy: a step forward in kidney transplantation?腹腔镜活体供肾切除术:肾移植的一项进展?
JSLS. 2003 Jul-Sep;7(3):197-206.
2
Laparoscopic assisted live donor nephrectomy--a comparison with the open approach.腹腔镜辅助活体供肾切除术——与开放手术方法的比较。
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Laparoscopic live donor nephrectomy.腹腔镜活体供肾切除术
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Functional advantages of laparoscopic live-donor nephrectomy compared with conventional open-donor nephrectomy.与传统开放性供体肾切除术相比,腹腔镜活体供体肾切除术的功能优势。
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Open versus laparoscopic live donor nephrectomy: a focus on the safety of donors and the need for a donor registry.开放与腹腔镜活体供肾切除术:关注供体安全性及建立供体登记系统的必要性
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Current concepts in transplant surgery: laparoscopic living donor of the kidney.移植外科学的当前概念:腹腔镜活体肾供体
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[Laparoscopic living donor nephrectomy for kidney transplantation].[用于肾移植的腹腔镜活体供肾切除术]
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Minimally invasive retroperitoneoscopic live donor nephrectomy: point of technique.微创后腹腔镜活体供肾切除术:技术要点
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Laparoscopic donor nephrectomy.腹腔镜供肾切除术
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引用本文的文献

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Successful Living Kidney Donor Transplantation: A Case Report.成功的活体肾移植:一例报告。
Case Rep Transplant. 2025 Feb 18;2025:2822007. doi: 10.1155/crit/2822007. eCollection 2025.
2
Evaluation of acute postoperative pain management after living donor nephrectomy during the transition from open access to laparoscopic and minimally invasive robotic surgical approach.活体供肾肾切除术后从开放手术向腹腔镜及微创机器人手术方式转变过程中急性疼痛管理的评估
Saudi J Anaesth. 2025 Jan-Mar;19(1):39-44. doi: 10.4103/sja.sja_425_24. Epub 2025 Jan 1.
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Association between intraoperative fluid management and postoperative outcomes in living kidney donors: a retrospective cohort study.活体肾供者术中液体管理与术后结局的关联:一项回顾性队列研究。
Sci Rep. 2025 Jan 25;15(1):3181. doi: 10.1038/s41598-025-87497-4.
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Comparison of analgesic effectiveness between nefopam and propacetamol in living kidney donors following rectus sheath block after hand-assisted living donor nephrectomy: a prospective, randomized controlled trial.手助腹腔镜活体供肾切取术后腹直肌鞘阻滞中奈福泮与丙帕他莫用于供者术后镇痛的效果比较:一项前瞻性、随机对照试验。
BMC Anesthesiol. 2024 Jul 2;24(1):219. doi: 10.1186/s12871-024-02607-5.
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Comprehensive Surgical Audit of Live-Related Donor Nephrectomy: Procedural Parameters, Demographics, Health Assessments, Complications, and Postoperative Outcomes.活体亲属供肾肾切除术的综合外科审计:手术参数、人口统计学、健康评估、并发症及术后结果
Cureus. 2024 Mar 31;16(3):e57363. doi: 10.7759/cureus.57363. eCollection 2024 Mar.
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Residual renal volume as a long-term independent predictive factor of developing chronic kidney disease after donor nephrectomy.残肾体积是供肾切除术后发生慢性肾脏病的长期独立预测因素。
Sci Rep. 2024 Mar 4;14(1):5341. doi: 10.1038/s41598-024-55499-3.
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Iliac fossa vs Pfannenstiel retrieval incision in laparoscopic donor nephrectomy: A critical analysis.腹腔镜供体肾切除术髂窝切口与Pfannenstiel取肾切口:批判性分析
Arab J Urol. 2019 Jul 22;17(4):318-325. doi: 10.1080/2090598X.2019.1637069. eCollection 2019.
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Can Urol Assoc J. 2016 Aug;10(7-8):258-259. doi: 10.5489/cuaj.4037.
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The internal anatomy of the inferior vena cava with specific emphasis on the entrance of the renal, gonadal and lumbar veins.下腔静脉的内部解剖结构,特别强调肾静脉、性腺静脉和腰静脉的入口。
Surg Radiol Anat. 2016 Jan;38(1):107-14. doi: 10.1007/s00276-015-1527-3. Epub 2015 Aug 7.
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A randomized, prospective, parallel group study of laparoscopic versus laparoendoscopic single site donor nephrectomy for kidney donation.随机、前瞻性、平行组研究腹腔镜与经脐单部位腹腔镜供肾切取术用于肾移植。
Am J Transplant. 2014 Jul;14(7):1630-7. doi: 10.1111/ajt.12735. Epub 2014 Jun 16.

本文引用的文献

1
The safety and efficacy of laparoscopic live donor nephrectomy: a systematic review.腹腔镜活体供肾切除术的安全性与有效性:一项系统评价
Transplantation. 2000 Dec 27;70(12):1659-66. doi: 10.1097/00007890-200012270-00001.
2
Laparoscopic nephrectomy in the markedly obese living renal donor.明显肥胖的活体肾供体的腹腔镜肾切除术
Urology. 2000 Dec 20;56(6):926-9. doi: 10.1016/s0090-4295(00)00813-x.
3
Laparoscopic retroperitoneal live donor right nephrectomy for purposes of allotransplantation and autotransplantation.用于同种异体移植和自体移植的腹腔镜下腹膜后活体供体右肾切除术。
J Urol. 2000 Nov;164(5):1500-4.
4
Laparoscopic live donor nephrectomy: the University of Maryland 3-year experience.腹腔镜活体供肾切除术:马里兰大学3年经验
J Urol. 2000 Nov;164(5):1494-9.
5
Increased rates of donation with laparoscopic donor nephrectomy.腹腔镜供肾切除术的捐献率提高。
Ann Surg. 2000 Sep;232(3):392-400. doi: 10.1097/00000658-200009000-00011.
6
Laparoscopic live donor nephrectomy--is it safe?腹腔镜活体供肾切除术——安全吗?
Transplantation. 2000 Aug 27;70(4):602-6. doi: 10.1097/00007890-200008270-00012.
7
Laparoscopic live donor nephrectomy: a "23-hour stay" procedure?腹腔镜活体供肾切除术:一种“住院23小时”的手术?
Transplantation. 2000 Aug 15;70(3):555. doi: 10.1097/00007890-200008150-00032.
8
Living kidney donation: recovery and return to activities of daily living.活体肾捐赠:恢复与回归日常生活活动
Clin Transplant. 2000 Aug;14(4 Pt 2):433-8. doi: 10.1034/j.1399-0012.2000.14041302.x.
9
Laparoscopic live donor nephrectomy: pre-operative assessment of technical difficulty.腹腔镜活体供肾切除术:技术难度的术前评估
Clin Transplant. 2000 Aug;14(4 Pt 2):427-32. doi: 10.1034/j.1399-0012.2000.14041202.x.
10
Preoperative evaluation of living renal donors: comparison of CT angiography and MR angiography.活体肾供体的术前评估:CT血管造影与MR血管造影的比较
Radiology. 2000 Aug;216(2):434-9. doi: 10.1148/radiology.216.2.r00au25434.