دورية أكاديمية
Mini-Incision Living Donors Nephrectomy Using Anterior Muscle-Splitting Approach with Hybrid Technique
| العنوان: | Mini-Incision Living Donors Nephrectomy Using Anterior Muscle-Splitting Approach with Hybrid Technique |
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| المؤلفون: | N Nazakatgoo, M M Hashad, A Saharia, LW Moore, A Osama Gaber |
| المصدر: | International Journal of Organ Transplantation Medicine, Vol 1, Iss 1, Pp 28-34 (2010) |
| بيانات النشر: | Shiraz University of Medical Sciences |
| سنة النشر: | 2010 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Transplant, kidney, laparotomy, laparoscopy, nephrectomy, Medicine |
| الوصف: | Background: Significant morbidity is associated with standard open flank living donor nephrectomy. Laparoscopicdonor nephrectomy is criticized for a steep learning curve and a tendency to avoid the right kidney. The anterior muscle-splitting technique uses principles or advantages of an open extraperitoneal approach with minimal morbidity and the advantageous muscle-splitting (instead of cutting) procedure.Objective: To compare mini-incision laparoscopic instrument-assisted (MILIA) live donor nephrectomy using a muscle-splitting technique to the standard open-flank donor nephrectomy (ODN) approach for efficacy and safety.Methods: MILIA living donor nephrectomies were performed in 119 donors and compared to a cohort of open-flank nephrectomy donors (n=38) from the same center. Both donor groups were matched for body mass index as well as other personal characteristics.Results: The mean donor age was 35 (range: 18–60) years. The right kidney was procured in 28% of cases. The majority of donors were female (58%) and Caucasian (60%). No differences were observed between MILIA and ODN donors for the age, gender and ethnicity. However, MILIA donors experienced a longer mean±SD operative time (234±47 vs. 197±33 min, p<0.0001) but a shorter hospital stay (4±1 vs. 6±3 days for the ODN group, p<0.0001) and less intraoperative blood loss (215±180 vs. 331±397 mL, p<0.02). No difference was found in the number of units of blood transfused (0.13±0.6 vs. 0.34±1.0 units, p=0.13). Right-sided kidneys were almost equally harvested in both groups (29% of MILIA donors vs. 26% of ODN donors). Post-operatively, MILIA donors had a significantly lower mean pain scores at one week and one month after surgery (p<0.001). They showed significant better post-operative recovery—earlier stopping of pain medications and restoration of other preoperative activities. Moreover, they were better satisfied with their scar appearance. Scores on the short form-36 quality of life questionnaire were comparable for both groups.Conclusion: ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2008-6490 2008-6482 |
| العلاقة: | http://home.sums.ac.ir/~habibzaf/ojs/index.php/IJOTM/article/view/7/19Test; https://doaj.org/toc/2008-6490Test; https://doaj.org/toc/2008-6482Test; https://doaj.org/article/9c82c5c3244c4bab919ce63bec7415c7Test |
| الإتاحة: | https://doaj.org/article/9c82c5c3244c4bab919ce63bec7415c7Test |
| رقم الانضمام: | edsbas.F9C3283B |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20086490 20086482 |
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