Izquierdo L, Peri L, Álvarez-Vijande R, Alcaraz A
Department of Urology, Hospital Clinic, Barcelona, Spain.
Transplant Proc. 2010 Nov;42(9):3437-9. doi: 10.1016/j.transproceed.2010.06.037.
The objective of this study was to analyze variables related to the surgical technique and postoperative evolution of kidney donors.
This retrospective analysis describes 100 laparoscopic nephrectomies from living donors performed in our hospital between February 2002 and July 2007. The variables were age, family relationship, surgical time, warm ischemia time, hospital stay, oral feeding resumption, morphine use, return to work, and complications.
The average age of the donors was 49.5 years and their male:female ratio was 1:2. The left kidney was extracted from 82% of patients. The warm ischemia time was 2.5 minutes (range = 1.09-5.10). There was only one case of multiple vessels. The surgical time was 149.5 minutes (range = 80-255). The mean hospital stay was 4.8 days (range = 1-18). Food intake was resumed after 24 hours, with morphine needed for 0.9 days. The time to return to work was 39 days (range = 7-120). The complications included kidney rupture (n = 1), liver tear (n = 1), hematoma (n = 6), including four requiring blood transfusions; fever and leukocytosis (n = 5) and one collection. No patients died as a result of the surgery.
Living-donor laparoscopic nephrectomy constitutes the gold standard among surgical options.
本研究的目的是分析与肾供体手术技术及术后恢复相关的变量。
本回顾性分析描述了2002年2月至2007年7月间在我院进行的100例活体供体腹腔镜肾切除术。变量包括年龄、亲属关系、手术时间、热缺血时间、住院时间、恢复经口进食情况、吗啡使用情况、重返工作时间及并发症。
供体的平均年龄为49.5岁，男女比例为1:2。82%的患者切除的是左肾。热缺血时间为2.5分钟（范围 = 1.09 - 5.10）。仅1例为多支血管情况。手术时间为149.5分钟（范围 = 80 - 255）。平均住院时间为4.8天（范围 = 1 - 18）。术后24小时恢复进食，吗啡使用时间为0.9天。重返工作时间为39天（范围 = 7 - 120）。并发症包括肾破裂（n = 1）、肝撕裂（n = 1）、血肿（n = 6），其中4例需要输血；发热及白细胞增多（n = 5）和1例积液。无患者因手术死亡。
活体供体腹腔镜肾切除术是手术选择中的金标准。
