Monsma M, Gómez G, Vidal A, Vera C D, Barberá M
Servicio de Anestesiología y Reanimación, Hospital Universitario La Fe, Valencia.
Rev Esp Anestesiol Reanim. 2010 May;57(5):297-306. doi: 10.1016/s0034-9356(10)70231-0.
Kidney transplantation is the main therapeutic alternative for patients with end-stage renal failure. However, the main constraint at present is the lack of available organs. Removal of a kidney from a live donor is a better option than conventional transplantation of a cadaver-donated organ. Among the advantages are a shorter waiting time for the organ recipient and greater assurance of graft quality and survival. The postoperative conditions made possible by laparoscopic surgery have encouraged the donation of tissues by live donors. Anesthetic treatment for patients undergoing laparoscopic surgery must be based on an understanding of the pathophysiologic changes that occur in this type of procedure so that complications can be prevented. This review provides an update of progress in laparoscopic surgery and the repercussions of anesthetic management, particularly with respect to anesthesia for kidney donors.
肾移植是终末期肾衰竭患者的主要治疗选择。然而，目前的主要限制因素是缺乏可用器官。从活体供体摘取肾脏比传统的尸体捐赠器官移植是更好的选择。其优点包括器官接受者等待时间更短，以及移植器官质量和存活率更有保障。腹腔镜手术带来的术后状况促使活体供体进行组织捐赠。接受腹腔镜手术患者的麻醉治疗必须基于对这类手术中发生的病理生理变化的理解，以便预防并发症。本综述提供了腹腔镜手术进展以及麻醉管理影响的最新情况，特别是关于肾脏供体麻醉方面。
