Relationship between influencing factors of operation time and postoperative complications in hand-assisted laparoscopic living donor nephrectomy
10.3969/j.issn.1674-7445.2023211
- VernacularTitle:手助腹腔镜下活体供肾切取手术时间的影响因素及其与术后并发症的关系分析
- Author:
Hongchen SONG
1
;
Jingcheng LYU
1
;
Yuwen GUO
1
;
Jian ZHANG
1
;
Zhipeng WANG
1
;
Yichen ZHU
1
Author Information
1. Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
- Publication Type:OriginalArticle
- Keywords:
Hand-assisted laparoscopy;
Living donor;
Nephrectomy;
Mayo adhesive probability score;
Clavien-Dindo score;
Receiver operating characteristic (ROC);
Fat thickness;
Metabolic syndrome
- From:
Organ Transplantation
2024;15(2):244-250
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the influencing factors of operation time of hand-assisted laparoscopic living donor nephrectomy, and to analyze the relationship between influencing factors and the severity of postoperative complications. Methods Clinical data of 91 donors who underwent hand-assisted laparoscopic nephrectomy were retrospectively analyzed. The correlation between preoperative baseline data of donors and operation time was analyzed. The relationship between operation time and postoperative complications was assessed and the threshold of operation time was determined. Results Multiple donor renal arteries, thick perirenal and posterior renal fat, metabolic syndrome, high Mayo adhesive probability (MAP) score and Clavien-Dindo score prolonged the operation time. By analyzing the receiver operating characteristic (ROC) curve, we found that when the operation time was ≥138 min, the incidence of postoperative complications of donors was significantly increased (P<0.05). Conclusions For donors with multiple renal arteries, thick perirenal and posterior renal fat, metabolic syndrome and high MAP score and Clavien-Dindo score, experienced surgeons should be selected to make adequate preoperative preparation and pay close attention after surgery, so as to timely detect postoperative complications and reduce the severity of complications, enhance clinical prognosis of the donors.
