Ruszat R, Wyler S F, Wolff T, Forster T, Lenggenhager C, Dickenmann M, Eugster T, Gürke L, Steiger J, Gasser T C, Sulser T, Bachmann A
Department of Urology, University Hospital Basel, Spitalstrasse 21, Basel 4031, Switzerland.
Transplant Proc. 2007 Jun;39(5):1381-5. doi: 10.1016/j.transproceed.2007.02.069.
We retrospectively compared perioperative donor outcomes and early complication rate of right- and left-sided retroperitoneoscopic living donor nephrectomy (RLDN).
From November 2001 to April 2006, we performed 118 RLDN. Including 24% (n = 28) right-sided RLDN and 76% (n = 90) left-sided RLDN. Perioperative results and the rate of adverse events were compared for both sides.
We observed no significant difference in operation time, blood loss, warm ischemia time, or postoperative creatinine levels between right- and left-sided kidney donors. RLDN was successfully performed in 116 of 118 donors. One donor in each group had to be converted to an open approach. We observed one graft loss due to renal artery kinking in one recipient after left-sided RLDN. Two right donations needed a saphenous venous patch due to a short right renal vein (<2 cm). Overall, intraoperative and postoperative complications were comparable between the two donor groups.
Right-sided RLDN provides comparable perioperative and postoperative results to those of left-sided RLDN. Our results demonstrated that groups with significant experience in RLDN can perform right living donor nephrectomy safely and efficiently with minimal invasiveness.
我们回顾性比较了右侧和左侧后腹腔镜活体供肾切除术（RLDN）的围手术期供者结局和早期并发症发生率。
2001年11月至2006年4月，我们共进行了118例RLDN。其中包括24%（n = 28）的右侧RLDN和76%（n = 90）的左侧RLDN。比较了两侧的围手术期结果和不良事件发生率。
我们观察到右侧和左侧供肾者在手术时间、失血量、热缺血时间或术后肌酐水平方面无显著差异。118例供者中有116例成功进行了RLDN。每组各有1例供者不得不转为开放手术。左侧RLDN术后，我们观察到1例受者因肾动脉扭曲导致移植肾丢失。2例右侧供肾因右肾静脉短（<2 cm）需要进行大隐静脉补片。总体而言，两组供者的术中和术后并发症相当。
右侧RLDN的围手术期和术后结果与左侧RLDN相当。我们的结果表明，在RLDN方面有丰富经验的团队可以以最小的侵袭性安全、有效地进行右侧活体供肾切除术。
