Acibadem University, International Hospital Organ Transplant Center, Istanbul, Turkey.
Eur Rev Med Pharmacol Sci. 2013 May;17(10):1389-94.
The aim of the present study was to retrospectively compare the results of right- and left-laparoscopic donor nephrectomy (LDN) performed in our Center.
Two hundred and eight patients who were operated on between October 2010 and October 2011 were included. Of the patients, 65 underwent right-LDN and 143 underwent left-LDN. The groups were compared in terms of duration of surgery, warm ischemia time, postoperative complications, length of hospital stay, and donor outcomes.
The mean duration of surgery was 144±19.7 min and 147.8±20.2 min in the right- and left-LDN groups, respectively. The mean warm ischemia times were 139.1±54.1 s and 141.5±37.9 in the right- and left-LDN groups, respectively. The mean length of hospital stay was 2.4±1.0 days for both groups. No major complications were observed in the groups. There was no significant difference between the groups in terms of donor outcomes.
The right-LDN is approached cautiously because of short length of vein and the risk for thrombosis. The results of the present study demonstrated that the right-LDN is as safe and effective as the left-LDN.
本研究旨在回顾性比较我院同期行腹腔镜右（左）侧供肾切取术（LDN）的结果。
2010 年 10 月至 2011 年 10 月期间，共 208 例行 LDN 手术的患者纳入研究。其中，65 例行右侧 LDN，143 例行左侧 LDN。比较两组患者的手术时间、热缺血时间、术后并发症、住院时间及供者结局。
右侧 LDN 组和左侧 LDN 组的手术时间分别为 144±19.7min 和 147.8±20.2min，热缺血时间分别为 139.1±54.1s 和 141.5±37.9s，两组患者的住院时间均为 2.4±1.0 天。两组均无严重并发症，供者结局无显著差异。
由于静脉较短和血栓形成的风险，右侧 LDN 应谨慎操作。本研究结果表明，右侧 LDN 与左侧 LDN 同样安全有效。
