Department for Transplant Surgery, Oslo University Hospital, Rikshospitalet, Clinic for Specialized Medicine and Surgery, Oslo, Norway.
J Surg Res. 2010 Nov;164(1):e181-4. doi: 10.1016/j.jss.2010.06.014. Epub 2010 Jul 3.
Regarding transplant surgery, the minimally invasive revolution was started in 1995 by laparoscopic living donor nephrectomy (L-LDN). In 2006, we made the first report on a minimally invasive technique for kidney transplantation; restricted to a 7-9 cm transverse incision targeted on the anastomotic area of the iliac vessels, and with the meticulously prepared kidney placed in a fitting, retroperitoneal pouch lateral to the skin incision.
By combining "hand-assisted laparoscopic nephrectomy" and "minimally invasive kidney transplantation" - using the same incision (7-8 cm) for hand-assistance, kidney harvesting, and transplantation - we have during 2009 conducted "minimally invasive renal auto-transplantation" in two patients.
In both cases, the postoperative course was uneventful. When examined 3 mo postoperatively, both auto-transplants were shown to have excellent function by renal scintigraphy.
Renal auto-transplantation, a traditionally major surgical procedure, can be made minimally invasive by a similar incision as that used for L-LDN. Taking into regard the highly traumatic conventional incisions, we expect the generally proven minimally invasive benefits to be considerable.
在移植手术领域，微创革命始于 1995 年的腹腔镜活体供肾切除术（L-LDN）。2006 年，我们首次报告了一种微创肾脏移植技术；该技术的切口限制在 7-9 厘米的横切口，仅针对髂血管吻合区域，并且精心准备的肾脏被放置在位于皮肤切口旁的合适的腹膜后袋中。
我们将“手助腹腔镜肾切除术”和“微创肾脏移植术”相结合——在手助、肾脏采集和移植中使用相同的切口（7-8 厘米）——在 2009 年对两名患者进行了“微创自体肾移植”。
在这两种情况下，术后过程均无并发症。术后 3 个月检查时，肾闪烁扫描显示自体移植功能均良好。
传统上是一项重大手术的自体肾移植术，可通过与 L-LDN 相同的切口实现微创。考虑到传统切口创伤较大，我们预计微创带来的好处将非常可观。
