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学科主题: 临床医学
题名:
Retroperitoneoscopic Live-donor Right Nephrectomy: A Chinese Single Center
作者: 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
发表日期: 2011-02-01
卷: 9, 期:1, 页:20-25
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Transplantation
研究领域[WOS]: Transplantation
关键词[WOS]: EXPERIENCE ; KIDNEY ; RECIPIENTS ; OUTCOMES
英文摘要:

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.

语种: 英语
WOS记录号: WOS:000289539500004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63856
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, Hosp 3, Dept Urol, Beijing 100191, Peoples R China

Recommended Citation:
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.
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