Waples M J, Belzer F O, Uehling D T
Department of Surgery, University of Wisconsin Medical School, Madison.
Urology. 1995 Feb;45(2):207-10. doi: 10.1016/0090-4295(95)80006-9.
To review the selection criteria and perioperative morbidity in patients undergoing living-related donor nephrectomy.
Retrospective chart review.
Six hundred eighty-one patients underwent living donor nephrectomy during a 20-year period without any mortality. The postoperative morbidity included pneumothorax requiring a chest tube in 7%, urinary tract infection in 5%, wound infection in 4%, and need for blood replacement in 0.3% of patients. Two patients had clinically apparent pulmonary emboli.
Living donor nephrectomy remains a valuable source of kidneys for transplantation but is not without risk. By using care in donor selection and surgical management, operative complications can be kept low.
回顾亲属活体供肾肾切除术患者的选择标准及围手术期发病率。
回顾性病历审查。
681例患者在20年期间接受了活体供肾肾切除术，无死亡病例。术后发病率包括7%的患者需要胸腔闭式引流治疗气胸，5%的患者发生尿路感染，4%的患者出现伤口感染，0.3%的患者需要输血。2例患者出现临床明显的肺栓塞。
亲属活体供肾肾切除术仍是移植肾的重要来源，但并非没有风险。通过谨慎选择供体和进行手术管理，可将手术并发症保持在低水平。
