后腹腔镜下左活体供肾肾切除术
Retroperitoneoscopic Left Live Donor Nephrectomy.
作者信息
Idrees Marwan, Ng Zi Qin, Kuan Melvyn, Mou Lingjun
机构信息
WA Liver & Kidney Surgical Transplant Service, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. (Drs. Idrees, Ng, and Mou).
Department of Urology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. (Dr. Kuan).
出版信息
JSLS. 2025 Jan-Mar;29(1). doi: 10.4293/JSLS.2024.00036. Epub 2025 Apr 7.
BACKGROUND
Retroperitoneoscopic donor nephrectomy (RDN) approach is an unfamiliar approach to the donor surgeons in Australia and New Zealand due to the background General Surgery training. The learning curve when transitioning from transperitoneal to retroperitonoscopic donor nephrectomy is relatively short with minimal morbidity.
METHODS
We detail our standardized surgical approach for performing RDN, including technical tips and maneuvers as well as visual aids that ensure the procedure's safety and efficacy.
DISCUSSION
RDN demonstrates notable advantages over traditional laparoscopic methods, including shorter operative times, less postoperative pain, and quicker recovery, thereby enhancing donor safety and graft function. Our goal is to outline our institution's RDN technique, offering valuable insights to aid donor surgeons in incorporating this method into their surgical repertoire. This approach requires a precise surgical technique and adequate training to maximize outcomes and minimize donor complications.
背景
由于普通外科培训背景，后腹腔镜供肾切除术（RDN）对澳大利亚和新西兰的供体外科医生来说是一种不熟悉的手术方式。从经腹腔到后腹腔镜供肾切除术过渡时的学习曲线相对较短，发病率最低。
方法
我们详细介绍了进行RDN的标准化手术方法，包括技术要点和操作以及视觉辅助工具，以确保手术的安全性和有效性。
讨论
RDN与传统腹腔镜方法相比具有显著优势，包括手术时间更短、术后疼痛更少、恢复更快，从而提高了供体安全性和移植肾功能。我们的目标是概述我们机构的RDN技术，提供有价值的见解，以帮助供体外科医生将这种方法纳入他们的手术技能中。这种方法需要精确的手术技术和充分的培训，以最大限度地提高手术效果并尽量减少供体并发症。
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