Sokolov A A, Martov A G
Department of Endoscopic Urology, RMAPE.
Department of Andrology and Urology, A.I. Burnazyan SSC Federal Medical Biophysical Center of FMBA of Russia.
Urologiia. 2016 Apr(2):92-95.
Globally, the number of patients with end-stage renal disease (ESRD) has been steadily increasing every year. These patients need renal replacement therapy which includes peritoneal dialysis, programmed hemodialysis and kidney transplantation, which is the ultimate form of replacement. Living donor kidney transplantation has significant advantages over cadaveric kidney transplantation regarding the long-term functional results of renal transplant and the survival of recipients. Open nephrectomy, previously used to retrieve a healthy kidney from a donor is associated with traumatic access and a long recovery period of the donor. With the development of minimally invasive technologies, laparoscopic living donor nephrectomy has been developed, which currently is the best method for retrieving transplant kidney. The review outlines the characteristics and outcomes of laparoscopic living donor nephrectomy for kidney transplantation.
在全球范围内,终末期肾病(ESRD)患者的数量每年都在稳步增加。这些患者需要肾脏替代治疗,包括腹膜透析、程控血液透析和肾脏移植,其中肾脏移植是最终的替代形式。就肾移植的长期功能结果和受者的存活率而言,活体供肾移植比尸体供肾移植具有显著优势。以前用于从供体获取健康肾脏的开放肾切除术会给供体带来创伤性入路和较长的恢复期。随着微创技术的发展,腹腔镜活体供肾切除术应运而生,目前它是获取移植肾的最佳方法。本文综述概述了用于肾移植的腹腔镜活体供肾切除术的特点和结果。