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学科主题: 临床医学
题名:
Retroperitoneoscopic live-donor nephrectomy: 5-year single-center experience in China
作者: Ma, Lulin; Ye, Jianfei; Huang, Yi; Hou, Xiaofei; Zhao, Lei; Wang, Guoliang
关键词: live-donor nephrectomy ; renal transplantation ; retroperitoneoscopy
刊名: INTERNATIONAL JOURNAL OF UROLOGY
发表日期: 2010-02-01
DOI: 10.1111/j.1442-2042.2009.02443.x
卷: 17, 期:2, 页:158-162
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: LIVING KIDNEY DONORS ; OUTCOMES ; RECIPIENTS
英文摘要:

Objective:

To evaluate the efficacy and the learning-curve period of our modified retroperitoneoscopic live-donor nephrectomy.

Methods:

From December 2003 to May 2009, 138 consecutive retroperitoneoscopic live-donor nephrectomies were carried out at our institution. Donors were separated into four groups in consecutive sequence in order to determine the learning-curve period. Groups 1-3 included forty consecutive cases each, whereas group 4 included the last eighteen cases. The renal artery and vein were controlled with two plastic locking clips at proximal ends without any clips on the kidney side. The kidney was manually retrieved through lumbar incision.

Results:

Mean operative times were 160.5, 116.9, 101.4 and 109.2 min in groups 1-4, respectively (group 1 vs group 2, 3 or 4, P < 0.01). Mean warm ischemic time was 3.5 min. Mean estimated blood loss was 88.8, 73.0, 69.3 and 43.9 mL in groups 1-4, respectively (group 1 vs group 4, P < 0.01). No blood transfusion or open conversion was required. Mean hospital stay was 7.8, 6.9, 6.6 and 5.8 days in groups 1-4, respectively (group 1 vs group 4, P < 0.05). Eight donors and seven grafts suffered from complications. Complication rates were 22.5%, 7.5%, 5.0% and 6.0% in groups 1-4, respectively (group 1 vs group 3, P < 0.05).

Conclusion:

Our modified retroperitoneoscopic live-donor nephrectomy can be carried out safely with a learning-curve period of about 40 cases.

语种: 英语
WOS记录号: WOS:000274907600006
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56247
Appears in Collections:北京大学第三临床医学院_泌尿外科_期刊论文

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作者单位: Peking Univ, Dept Urol, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Ma, Lulin,Ye, Jianfei,Huang, Yi,et al. Retroperitoneoscopic live-donor nephrectomy: 5-year single-center experience in China[J]. INTERNATIONAL JOURNAL OF UROLOGY,2010,17(2):158-162.
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