Ratner L E, Ciseck L J, Moore R G, Cigarroa F G, Kaufman H S, Kavoussi L R
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA.
Transplantation. 1995 Nov 15;60(9):1047-9.
A laparoscopic live-donor nephrectomy was performed on a 40-year-old man. The kidney was removed intact via a 9-cm infraumbilical midline incision. Warm ischemia was limited to less than 5 min. Immediately upon revascularization, the allograft produced urine. By the second postoperative day, the recipient's serum creatinine had decreased to 0.7 mg/dl. The donor's postoperative course was uneventful. He experienced minimal discomfort and was discharged home on the first postoperative day. We conclude that laparoscopic donor nephrectomy is feasible. It can be performed without apparent deleterious effects to either the donor or the recipient. The limited discomfort and rapid convalescence enjoyed by our patient indicate that this technique may prove to be advantageous.
对一名40岁男性实施了腹腔镜活体供肾切除术。通过脐下9厘米中线切口完整切除肾脏。热缺血时间限制在5分钟以内。血管再通后，移植肾立即产生尿液。术后第二天，受者血清肌酐降至0.7毫克/分升。供者术后过程顺利。他仅有轻微不适，术后第一天即出院回家。我们得出结论，腹腔镜供肾切除术是可行的。该手术对供者和受者均无明显有害影响。我们的患者所经历的轻微不适和快速康复表明，这项技术可能具有优势。
