活体供肾者肾切除术的当前趋势和短期结果：全国住院患者样本的基于人群分析。
Current trends and short-term outcomes of live donor nephrectomy: a population-based analysis of the nationwide inpatient sample.
机构信息
Department of Surgery, Surgical Outcomes Analysis & Research, University of Massachusetts Medical School, 55 Lake Avenue North, S6-432, Worcester, MA 01655, USA.
出版信息
World J Surg. 2010 Dec;34(12):2985-90. doi: 10.1007/s00268-010-0770-3.
BACKGROUND
Recent United Network for Organ Sharing (UNOS) data suggest that live kidney donation is stagnant. Current practices and trends in laparoscopic donor nephrectomy (LDN) among the transplant community remain largely unknown.
MATERIALS AND METHODS
From the Nationwide Inpatient Sample (NIS) from 1998 to 2006, patients undergoing LDN (n = 9,437) were identified.
RESULTS
Live kidney donation in the United States did not show an increase in the NIS. Of the live donor cases recorded, 58 (0.61%) were associated with a major short-term complication. The number of LDNs performed by transplant surgeons decreased over the study period from 76.5% in 1998 to 30.4% in 2006.
CONCLUSIONS
In the United Stares, LDNs are performed safely with a low short-term complication rate. Despite the use of laparoscopy and the increased need of donor organs, the rate of LDN in kidney transplantation has not increased proportionally.
背景
最近美国器官共享联合网络（UNOS）的数据表明活体肾脏捐献趋于停滞。目前，移植领域腹腔镜供肾切除术（LDN）的实际操作和趋势在很大程度上仍不为人知。
材料与方法
从 1998 年至 2006 年全国住院患者样本（NIS）中，确定了行 LDN（n=9437）的患者。
结果
美国活体肾脏捐献在 NIS 中并未显示出增加。在记录的活体供体病例中，有 58 例（0.61%）出现主要短期并发症。在研究期间，由移植外科医生实施的 LDN 数量从 1998 年的 76.5%下降至 2006 年的 30.4%。
结论
在美国，LDN 的实施安全，短期并发症发生率低。尽管采用了腹腔镜技术且对供体器官的需求增加，但肾移植中 LDN 的比例并未相应增加。
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