Hiller J, Sroka M, Holochek M J, Morrison A, Kavoussi L R, Ratner L E
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Md., USA.
J Transpl Coord. 1997 Sep;7(3):134-40. doi: 10.7182/prtr.1.7.3.v503420j4hr31621.
Live-donor kidney transplants accounted for only 27% of all kidney transplants performed in the United States in 1995. Prolonged hospitalization, pain, extended convalescence, and related socioeconomic concerns associated with traditional open-donor nephrectomy surgery may discourage potential donors, contributing to a low percentage of live kidney donors. To remove such disincentives, the laparoscopic live-donor nephrectomy procedure was introduced. In this study, the post-discharge course of 10 laparoscopic nephrectomy donors was compared with that of 27 open nephrectomy donors over the same time period. Laparoscopic nephrectomy donors experienced significantly shorter hospitalizations, less pain, felt able to return to work and normal routines sooner, and needed significantly less assistance during the recuperation period than did open nephrectomy donors. The laparoscopic nephrectomy procedure may decrease many of the concerns of potential donors, thus making live kidney donation more attractive and increasing the kidney supply.
1995年，活体供肾肾移植仅占美国所有肾移植手术的27%。与传统开放性供肾肾切除术相关的住院时间延长、疼痛、康复期延长以及相关的社会经济问题可能会使潜在供者望而却步，导致活体供肾者比例较低。为消除这些不利因素，引入了腹腔镜活体供肾肾切除术。在本研究中，将10例腹腔镜肾切除术供者出院后的病程与同期27例开放性肾切除术供者的病程进行了比较。与开放性肾切除术供者相比，腹腔镜肾切除术供者的住院时间明显缩短，疼痛减轻，感觉能够更快地恢复工作和正常生活，并且在康复期间所需的帮助明显更少。腹腔镜肾切除术可能会减少潜在供者的许多顾虑，从而使活体肾捐献更具吸引力并增加肾脏供应。
