Schulam P G, Kavoussi L R, Cheriff A D, Averch T D, Montgomery R, Moore R G, Ratner L E
Department of Urology, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
J Urol. 1996 Jun;155(6):1857-9.
Successful laparoscopic live donor nephrectomy in 3 patients is described.
The procedures were performed completely laparoscopically and the kidneys were extracted via 8 cm. infraumbilical incisions.
In all 3 cases warm ischemic time was less than 5 minutes, and the renal vessels and ureter of the harvested kidneys were of adequate length for routine transplantation. Donors required minimal postoperative parenteral analgesia and were discharged home 1 to 3 days after the procedure. All harvested kidneys were successfully transplanted, and functioned well initially and at hospital discharge.
Laparoscopic live donor nephrectomy may be an alternative surgical modality to conventional open nephrectomy. Advantages include less postoperative pain, shorter hospital stay and convalescence, and a more desirable cosmetic result. Additionally, these advantages may encourage more individuals to consider live donation, resulting in an increase in organ supply.
描述3例成功的腹腔镜活体供肾切除术。
手术完全通过腹腔镜进行，肾脏经脐下8cm切口取出。
所有3例热缺血时间均少于5分钟，摘取肾脏的肾血管和输尿管长度足以进行常规移植。供体术后所需的非肠道镇痛药物极少，术后1至3天出院。所有摘取的肾脏均成功移植，术后初期及出院时功能良好。
腹腔镜活体供肾切除术可能是传统开放性肾切除术的一种替代手术方式。其优点包括术后疼痛减轻、住院时间和康复时间缩短，以及美容效果更佳。此外，这些优点可能会鼓励更多人考虑活体捐赠，从而增加器官供应。
