Dong Jun, Lu Jinshan, Zu Qiang, Yang Suxia, Guo Gang, Ma Xin, Li Hongzhao, Zhang Xu
Department of Urology, Chinese PLA General Hospital, Beijing, 100853, China.
J Huazhong Univ Sci Technolog Med Sci. 2011 Feb;31(1):100-102. doi: 10.1007/s11596-011-0158-0. Epub 2011 Feb 19.
Retroperitoneal laparoscopic live donor nephrectomy offers an intrinsic advantage over conventional transperitoneal laparoscopic nephrectomy because of the potentially lower risk for early and late donor intraperitoneal complications. Herein we presented our experience performing retroperitoneal laparoscopic live donor nephrectomy in 105 donors. All donor nephrectomy was successful. There were no donor deaths and no conversion to open surgery. Mean operation time was 112 min (range, 70-200 min). Intraoperative blood loss was 10-150 mL with an average of 30 mL. Warm ischemia time was 1.3 to 6 min with an average of 3.1 min. Postoperative retroperitoneal hematoma occurred in only one case and there were no other surgical complications. Donors were discharged from the hospital 5 to 10 days postoperation. Average postoperative hospital stay was 6.4 days. One graft was removed due to acute rejection. Delayed graft function occurred in two recipients but renal function returned to normal within four weeks. The other recipients had normal renal function in two weeks except three recipients in four weeks. We believe that retroperitoneal laparoscopic live donor nephrectomy is safe, reliable, and less invasive.
腹膜后腹腔镜活体供肾切除术相较于传统经腹腹腔镜肾切除术具有内在优势，因为其早期和晚期供体腹腔内并发症的风险可能更低。在此，我们介绍了我们在105例供体中进行腹膜后腹腔镜活体供肾切除术的经验。所有供肾切除术均成功。没有供体死亡，也没有转为开放手术。平均手术时间为112分钟（范围70 - 200分钟）。术中失血10 - 150毫升，平均30毫升。热缺血时间为1.3至6分钟，平均3.1分钟。术后仅1例发生腹膜后血肿，无其他手术并发症。供体术后5至10天出院。术后平均住院时间为6.4天。1例移植物因急性排斥反应被切除。2例受者发生移植肾功能延迟恢复，但肾功能在4周内恢复正常。其他受者除3例在4周内恢复正常外，2周内肾功能均正常。我们认为腹膜后腹腔镜活体供肾切除术安全、可靠且创伤较小。
