|Retroperitoneoscopic Live-donor Right Nephrectomy: A Chinese Single Center|
|Ma, Lulin; Li, Gang; Huang, Yi; Hou, Xiaofei; Zhao, Lei; Wang, Guoliang; Tian, Xiaojun; Tang, Wenhao; Chen, Yingtao|
|关键词||Retroperitoneoscopy Kidney transplant|
|刊名||EXPERIMENTAL AND CLINICAL TRANSPLANTATION|
|WOS标题词||Science & Technology|
|关键词[WOS]||EXPERIENCE ; KIDNEY ; RECIPIENTS ; OUTCOMES|
Objectives: To evaluate our right-retroperitoneoscopic live-donor nephrectomy by comparing the left side with the right side, and reporting our single-center experience for right-retroperitoneoscopic live-donor nephrectomy.
Patients and Methods: In China, live-kidney transplant is limited. It is even more essential now, because the deceased-donor kidney has become fewer after enacting the Chinese Regulation on Human Organ Transplantation. Therefore, there is a continued need to use the limited live-donor population. We chose 103 consecutive cases (84 left and 19 right) that underwent retroperitoneoscopic live-donor nephrectomy between December 2005 and December 2009, to compare the intraoperative and postoperative characteristics between the left and right sides, and report our experiences for 19 right-retroperitoneoscopic live-donor nephrectomies.
Results: All 84 left and 19 right-retroperitoneoscopic live-donor nephrectomies were accomplished successfully without open conversion and transfusion. No significant differences were observed between the 2 groups regarding operative time, warm ischemia time, estimated blood loss, length of hospital stay, and serum creatinine level at discharge (Table 1). Eight of the donors and 3 of the grafts had minor complications that were all resolved with conservative treatment. The recipients′ serum creatinine levels at 1 day and 1 month after surgery were the same in both groups. No acute renal tubule necrosis or delayed graft function was observed in the recipients.
Conclusions: Our right-retroperitoneoscopic live-donor nephrectomy achieves comparable outcomes with the left side and proves to be a feasible, cost-effective, safe, and minimally invasive alternative for live-kidney donation. This maximally uses the innately limited donors and potentially increases the donor pool in China.
|作者单位||Peking Univ, Hosp 3, Dept Urol, Beijing 100191, Peoples R China|
|Ma, Lulin,Li, Gang,Huang, Yi,et al. Retroperitoneoscopic Live-donor Right Nephrectomy: A Chinese Single Center[J]. EXPERIMENTAL AND CLINICAL TRANSPLANTATION,2011,9(1):20-25.|
|APA||Ma, Lulin.,Li, Gang.,Huang, Yi.,Hou, Xiaofei.,Zhao, Lei.,...&Chen, Yingtao.(2011).Retroperitoneoscopic Live-donor Right Nephrectomy: A Chinese Single Center.EXPERIMENTAL AND CLINICAL TRANSPLANTATION,9(1),20-25.|
|MLA||Ma, Lulin,et al."Retroperitoneoscopic Live-donor Right Nephrectomy: A Chinese Single Center".EXPERIMENTAL AND CLINICAL TRANSPLANTATION 9.1(2011):20-25.|