|Title:||Technical Considerations in Hand-Assisted Laparoscopic Live Donor Nephrectomy: Initial Taiwan Experience from National Taiwan University Hospital||Authors:||CHUEH, SHIH-CHIEH
|Keywords:||laparoscopic live donor nephrectomy;hand-assisted;ischemia time;RECIPIENT;KIDNEY||Issue Date:||2002||Journal Volume:||v.101||Journal Issue:||n.1||Start page/Pages:||76-79||Source:||JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION||Abstract:||
This report describes the initial experience of laparoscopic live donor nephrectomy (lap-LDN) in Taiwan and discusses the technical considerations and modifications of our technique. From September to November 2000, three (one right and two left) lap-LDNs were performed at our institute. The right kidney was retrieved in one donor because of an early branching of the left renal artery. The details of our technique are described for both left and right LDN. The perioperative parameters were compared to those of the 10 immediately preceding cases of LDNs using the traditional open approach. All lap-LDNs and open LDNs were successful, and all 13 recipients had smooth recovery of renal function. The donors recuperated better in the lap-LDN group with resumption of oral intake on postoperative day (POD) 1 and discharge on POD 5 (vs POD 3.4 and 8.5, respectively, in the open group). The mean blood loss was lower and narcotic use was less in the lap-LDN group (75 vs 164 mL, 25 vs 47 mg morphine sulfate equivalent, r and all 13 recipients had smooth recovery of renal function.
|Appears in Collections:||醫學系|
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