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移植外科学的当前概念:腹腔镜活体肾供体

Current concepts in transplant surgery: laparoscopic living donor of the kidney.

作者信息

Paul Andreas, Treckmann Jürgen, Gallinat Anja, Witzke Oliver, Vester Udo, Broelsch Christoph E

机构信息

Clinic for General, Visceral and Transplantation Surgery, University of Duisburg-Essen, Hufelandstr. 55, 45122, Essen, Germany.

出版信息

Langenbecks Arch Surg. 2007 Sep;392(5):501-9. doi: 10.1007/s00423-007-0192-3. Epub 2007 May 26.

Abstract

INTRODUCTION

Living donor kidney transplantation has emerged as an excellent alternative to cadaveric donation since, more than 50 years ago, the first live donor nephrectomy was successfully performed.

OBJECTIVE

The basic idea of introducing laparoscopy in live donor nephrectomy was to obtain a potential reduction in incision-related morbidity with reduced pain and faster reconvalescence while providing at least the same level of operative security. This paper is focusing on technical aspects, outcome, results, and possible current concerns and advantages of laparoscopic living-related donor nephrectomy.

CONCLUSION

According to our results and the results available in the literature, laparoscopic living donor nephrectomy is safe when performed with sufficient experience. Postoperative pain is less and recovery is significantly faster.

摘要

引言

自50多年前首次成功实施活体供肾肾切除术以来,活体供肾移植已成为尸体供肾的绝佳替代方案。

目的

在活体供肾肾切除术中引入腹腔镜技术的基本理念是,在提供至少相同手术安全性的同时,潜在地降低与切口相关的发病率,减轻疼痛并加快康复。本文重点关注腹腔镜亲属活体供肾肾切除术的技术方面、结果、成效以及当前可能存在的问题和优势。

结论

根据我们的结果以及文献中的现有结果,腹腔镜活体供肾肾切除术在具备足够经验的情况下是安全的。术后疼痛较轻,恢复明显更快。

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