Attawettayanon Worapat, Prasit Sirianan, Sangkum Premsant, Patcharatrakul Suthep, Jirasiritham Sophon, Khongcharoensombat Wisoot
J Med Assoc Thai. 2014 Feb;97(2):250-4.
The prevalence of patients with end stage renal disease (ESRD) is showing an increasing trend. At the same time, the waiting lists for cadaveric donor kidney transplantation continue to grow. Living donor kidneys may be an alternative for patients to receive kidneys for transplantation. However a wide gap exists between the numbers of living kidney donors and the numbers of recipients on waiting lists. Many considerations are involved in living organ donation, including cosmetic reasons. Laparoscopic living donor nephrectomy has become the technique of choice for kidney transplantation in many centers. The benefits of a laparoscopic technique compared with open surgery include reduced blood loss, less analgesic requirement, a shorter hospital stay, faster return to work, and fewer cosmetic effects. The next step in minimal invasive surgery is laparoendoscopic single port donor nephrectomy Early outcomes show this technique to be safe and cosmetically improved This procedure may be the answer to reduce the gap between numbers of kidney donors and waiting recipients. We report our first experience of single port laparoendoscopic left donor nephrectomy. A 48-year-old healthy Thai man wished to donate his kidney to his 18-year-old son who suffered from IgA nephropathy and ended up with ESRD. The operation took three hours. The estimated blood loss was 50 ml and no blood transfusion was required. The donor was discharged home safely without any complications.
终末期肾病（ESRD）患者的患病率呈上升趋势。与此同时，尸体供肾移植的等待名单持续增加。活体供肾可能是患者接受肾移植的一种选择。然而，活体肾供者数量与等待名单上的受者数量之间存在很大差距。活体器官捐赠涉及许多因素，包括美容原因。腹腔镜活体供肾切除术已成为许多中心肾移植的首选技术。与开放手术相比，腹腔镜技术的优点包括失血减少、镇痛需求降低、住院时间缩短、恢复工作更快以及美容效果更好。微创手术的下一步是单孔腹腔镜供肾切除术。早期结果表明该技术安全且美容效果更佳。该手术可能是缩小肾供者与等待受者数量差距的答案。我们报告了首例单孔腹腔镜左供肾切除术的经验。一名48岁健康的泰国男子希望将自己的肾脏捐献给患有IgA肾病并最终发展为ESRD的18岁儿子。手术耗时三小时。估计失血量为50毫升，无需输血。供者安全出院，无任何并发症。
