Guleria Sandeep
Department of Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110 029, India.
Indian J Urol. 2010 Jan-Mar;26(1):139-41. doi: 10.4103/0970-1591.60464.
Live kidney donation is an excellent way of increasing the donor pool. The introduction of the laparoscopic donor nephrectomy has resulted in an increase in live organ donation in the western hemisphere. There is no data on its impact on organ donation in India. However attractive as it may seem, the procedure is associated with a definite learning curve and does compromise donor safety. The procedure is also expensive in terms of the equipment required. The mini-donor nephrectomy is an excellent alternative, has no learning curve and is ideally suited for donors in India who have a low BMI. The procedure is also relatively inexpensive. We are in need of a donor registry rather than reports from single institutions to fully evaluate the risks and benefits of both procedures.
活体肾捐赠是增加供体库的一种绝佳方式。腹腔镜供肾切除术的引入使得西半球的活体器官捐赠有所增加。目前尚无关于其对印度器官捐赠影响的数据。尽管该手术看似很有吸引力，但它存在一定的学习曲线，并且确实会对供体安全造成影响。就所需设备而言，该手术成本也很高。迷你供肾切除术是一种很好的替代方案，不存在学习曲线，非常适合印度体重指数较低的供体。该手术成本也相对较低。我们需要一个供体登记处，而不是单一机构的报告，以便全面评估这两种手术的风险和益处。
