다발 신동맥 공여자에서 손을 이용한 복강경하 공여신 적출술의 안정성
Feasibility and Safety of Performing Hand-assisted Laparoscopic Donor Nephrectomy for Patients with Multiple Renal Arteries
최항원, 정진우, 정조운, 조혁진, 홍성후, 김준철, 박용현, 황태곤,
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최항원 ( Choi Hang-Won )
가톨릭대학교 의과대학 비뇨기과학교실
정진우 ( Jung Jin-Woo )
가톨릭대학교 의과대학 비뇨기과학교실
정조운 ( Jung Jo-Un )
가톨릭대학교 의과대학 비뇨기과학교실
조혁진 ( Cho Hyuk-Jin )
가톨릭대학교 의과대학 비뇨기과학교실
홍성후 ( Hong Sung-Hoo )
가톨릭대학교 의과대학 비뇨기과학교실
김준철 ( Kim Joon-Chul )
가톨릭대학교 의과대학 비뇨기과학교실
박용현 ( Park Yonh-Hyun )
가톨릭대학교 의과대학 비뇨기과학교실
황태곤 ( Hwang Tae-Kon )
가톨릭대학교 의과대학 비뇨기과학교실
KMID : 0358320080490050443
Abstract
Purpose: We wanted to present the feasibility and safety of hand-assisted laparoscopic donor nephrectomy(HALDN) for treating patients with multiple renal arteries.
Materials and Methods: Between February 2000 and July 2006, 252 patients underwent HALDN. The results for the patients with a single renal artery (n=187)(Group I) and those patients with multiple renal arteries(n=65) (Group II) were compared in terms of the donor and recipient outcomes. A retrospective chart review was performed and statistical analysis included Student’s t-test, the chi square test and Kaplan-Meier survival probability analysis.
Results: HALDN was technically successful in 251 patients(1 patient had to be converted to open donor nephrectomy). The operative times were increased in group II, but the differences between the groups were not statistically significant. The warm ischemic times were significantly longer in group II. The intraoperative blood loss, postoperative hospital stay and complication rate in the donor group were not associated with the number of renal arteries. The recipients’ renal function and overall graft survival were similar between groups I and II.
Conclusions: In our single-center study, the presence of renal artery multiplicity when performing HALDN does not have a significant impact on the outcomes of the renal donors or recipients.
키워드
Kidney transplantation;Laparoscopy;Living donors;Hand;Renal artery
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