Hand-Assisted Laparoscopic Live Donor Nephrectomy.
- Author:
Kee Uk CHUNG
;
Seong Il SEO
;
Tae Kon HWANG
- Publication Type:Original Article
- Keywords:
Laparoscopic nephrectomy;
Kidney transplantation
- MeSH:
Age Distribution;
Arteries;
Body Weight;
Chylous Ascites;
Creatinine;
Humans;
Kidney Transplantation;
Length of Stay;
Nephrectomy*;
Pneumothorax;
Postoperative Complications;
Renal Artery;
Retrospective Studies;
Tissue Donors*;
Ureter;
Warm Ischemia
- From:Korean Journal of Urology
2001;42(2):189-194
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Hand-assisted laparoscopic live donor nephrectomy (HALDN) are being performed at our institution in an attempt to make live donor more attractive to the potential donor. We review the results of HALD N retrospectively and compare them with those obtained using the standard open approach. MATERIALS AND METHODS: 9 consecutive HALDN were performed from February 2000 through June 2000. The control group consisted of the 22 open donor nephrectomy at the same institution from January 1999 through December 1999 immediately before the initiation of HALDN. Live donors were considered candidates for HALDN if they possessed left normal renal anatomy with single renal vessels and ureter. Among 9 HALDN patients, one patient had two main renal arteries and another one patient had a polar artery. We evaluated sex, age, body weight, BMI (Body Mass Index) basically. And we evaluated renal ischemic time, operation time, to normal activities, postoperative serum creatinine level, and postoperative complications. RESULTS: There was no significant difference in male-female ratio, age distribution and weight-height ratio between two groups. Warm ischemic time for HALDN group was 3 to 4 min and it was not different with open surgery. Operation time was prolonged in HALDN group (284.4+/-72.8 min) compared to open group (193.1+/-26.7 min) (p
