Aboutaleb Esam, Herbert Paul, Crane Jeremy, Hakim Nadey
The West London Renal and Transplant Centre, Imperial College Healthcare NHS Trust, London, UK.
Exp Clin Transplant. 2010 Sep;8(3):189-95.
The aim of this article is to compare different mini-incision donor nephrectomy techniques in the literature.
We did a literature search using PUBMED using the search term "donor nephrectomy." We compared different surgical techniques using different parameters like length of incision, length of operation, pain medications required after the operation, site of the operation, and intraoperative and postoperative complications.
We found 7 different surgical techniques of mini-invasive donor nephrectomy. Hakim and associates described the smallest initial incision size of 4 cm. There also are limited data on the analgesia requirements in 4 of the series, and 3 series that describe the requirements vary.
These techniques offer advantages and disadvantages to the donor and the kidney. We hope to encourage further work. Ideally, there must be a working discussion, long-term outcomes of donor kidney and recipient, as well as accurate pain records, both quantitative and qualitative, and a discussion of time to mobilization.
本文旨在比较文献中不同的微创供体肾切除术技术。
我们使用PUBMED以“供体肾切除术”为检索词进行文献检索。我们使用不同参数比较不同手术技术，如切口长度、手术时长、术后所需止痛药物、手术部位以及术中及术后并发症。
我们发现了7种不同的微创供体肾切除术手术技术。哈基姆及其同事描述的初始切口最小尺寸为4厘米。在其中4个系列中关于镇痛需求的数据也有限，并且有3个系列描述的需求各不相同。
这些技术对供体和肾脏都有优缺点。我们希望鼓励进一步的研究。理想情况下，必须进行工作讨论、供体肾和受体的长期结果，以及准确的疼痛记录，包括定量和定性的，还有关于活动时间的讨论。
