Cai M, Shi B, Qian Y, Mo C, Du G, Bai H, Wang Y, Zheng D, Que S, Chen Z K
Department of Urology, Beijing, China.
Transplant Proc. 2004 Sep;36(7):1903-4. doi: 10.1016/j.transproceed.2004.06.055.
We introduced and evaluated the advantages and disadvantages of the hand-assisted transperitoneal laparoscopic technique for living donor nephrectomy.
In December 2001, we started using the technique of hand-assisted transperitoneal laparoscopic living donor nephrectomy (HLDN) in 10 cases. The procedure utilizes a hand-assisted device to increase safety and control of the laparoscopic technique.
Only left nephrectomy was performed. The mean total operating and the warm ischemia times were 130 minutes and 3.0 minutes, respectively. Average lengths of renal artery and vein were 1.95 cm and 2.8 cm, respectively. There were no intraoperative or postoperative complications.
HLDN is an easier procedure than the traditional laparoscopic living donor nephrectomy and can greatly mitigate the learning curve. HLDN has shortened warm ischemia time and operating time. It is also good for trocar placement, prevention of torsion of the kidney, control of potential bleeding at the final stage of vascular stapling, and kidney removal. Therefore, HLDN is a promising method for living donor nephrectomy.
我们介绍并评估了手辅助经腹腹腔镜技术在活体供肾肾切除术中的优缺点。
2001年12月，我们开始对10例患者采用手辅助经腹腹腔镜活体供肾肾切除术（HLDN）技术。该手术使用手辅助装置以提高腹腔镜技术的安全性和可控性。
仅进行了左肾切除术。平均总手术时间和热缺血时间分别为130分钟和3.0分钟。肾动脉和肾静脉的平均长度分别为1.95厘米和2.8厘米。无术中或术后并发症。
HLDN比传统的腹腔镜活体供肾肾切除术操作更简便，可大大缩短学习曲线。HLDN缩短了热缺血时间和手术时间。它也有利于套管针放置、预防肾脏扭转、控制血管吻合最后阶段的潜在出血以及取出肾脏。因此，HLDN是一种有前景的活体供肾肾切除术方法。
