摘要
目的:探讨后腹腔镜活体供肾切取术在亲属肾脏移植中的临床应用,总结其疗效及安全性分析.方法:回顾性分析2009年4月～2013年2月后腹腔镜活体亲属供肾切取肾脏移植27例.供者男8例,女19例,平均年龄45岁.供肾均取左肾.受者男22例、女5例,平均年龄38岁.结果:27例供者后腹腔镜取肾全部成功,所有供者术中均未输血,无明显手术并发症,术后住院7.8(6～18)d.27例受者肾功能恢复正常时间为7.4(3～15)d,无移植肾功能恢复延迟和急性排斥反应发生.结论:后腹腔镜活体供肾切取术具有安全可靠、出血少、创伤小、术后恢复快等优势,是获取活体供肾首选的方法.
Objective:To investigate the clinical application of retroperitoneal laparoscopic live donor nephrectomy in relatives kidney transplantation,and to analyze its efficacy and security.Methods:A retrospective analysis was reported by 27 cases receiving laparoscopic living relative donor nephrectomy in our department from April 2009 to February 2013.Donors included 8 males and 19 females,and mean age was 45 years,Donor kidneys were removed from left kidney.The recipients included 22 males and 5 females with average age of 38 years old.Results:All 27 cases successfully underwent retroperitoneal laparoscopic donor nephrectomy,without intraoperative blood transfusion and significant complications.Postoperative hospital stay was 7.8 days(6-18days).Renal function of recipients returned to normal level for 7.4 days(3-15 days).No delayed graft function and acute rejection occurred.Conclusions: Retroperitoneal laparoscopic living donor nephrectomy had many advantages,including safety and reliablility,less bleeding,minimal injury,and more rapid recovery.This procedure is the preferred method to obtain living donor kidney.
出处
《微创泌尿外科杂志》
2013年第2期104-106,共3页
Journal of Minimally Invasive Urology
关键词
后腹腔镜
活体供者
肾切取术
retroperitoneal laparoscopy
living donor
nephrectomy
