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学科主题: 临床医学
题名:
Technical Modifications of Retroperitoneoscopic Live Donor Nephrectomy: Chinese Experience
作者: Ma, L.; Ye, J.; Tian, X.; Wang, G.; Hou, X.; Zhao, L.
刊名: TRANSPLANTATION PROCEEDINGS
发表日期: 2010-11-01
DOI: 10.1016/j.transproceed.2010.08.068
卷: 42, 期:9, 页:3440-3443
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Immunology ; Surgery ; Transplantation
研究领域[WOS]: Immunology ; Surgery ; Transplantation
关键词[WOS]: O-LOK CLIPS ; LIVING DONOR ; SINGLE-CENTER ; MANAGEMENT ; SAFE
英文摘要:

Objective. The objective of this article is to report a single-center experience and technical modifications of retroperitoneoscopic live donor nephrectomy (RPLDN).

Materials and Methods. One hundred twenty-one 3-port RPLDNs were performed at our institution. No prisoners or organs from prisoners were used to collect the data for this study. The tributaries of renal artery and vein were transected using a harmonic scalpel after both ends of the tributary were coagulated intermittently until the color turned light yellow. Transection was made using shifting coagulation. A longitudinal 6-8-cm skin incision was extended inferiorly from the primary trocar with muscles intact. The renal artery was clipped using two Hem-o-Lok clips at the proximal end, and then sheared by scissors without any clips on the kidney side. The renal vein was controlled similarly. The graft was retrieved by insertion of a hand through the longitudinal lumbar incision.

Results. The mean operative time and warm ischemia time were 126.1 and 3.6 minutes, respectively. No blood transfusion or open conversion was required. None of the donors encountered a major complication, but 7 suffered minor complications. Preoperative and postoperative mean serum creatinine levels of the donors were 1.00 and 1.29 mg/dL, respectively. The mean serum creatinine levels of the recipients postoperatively at day 1 and month 1 were 5.48 and 1.60 mg/dL, respectively.

Conclusions. The modified approach of RPLDN may be a useful alternative with flexible control of the renal vessels and tributaries and easy retrieval of the graft.

语种: 英语
WOS记录号: WOS:000284969800016
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57917
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 Third Hosp, Dept Urol, Beijing 100191, Peoples R China

Recommended Citation:
Ma, L.,Ye, J.,Tian, X.,et al. Technical Modifications of Retroperitoneoscopic Live Donor Nephrectomy: Chinese Experience[J]. TRANSPLANTATION PROCEEDINGS,2010,42(9):3440-3443.
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