Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility
정문수, 김준철, 황태곤, 김세웅, 김수진, 이지열, 홍성후, 하유신, 조혁진,
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정문수 ( Chung Moon-Soo )
가톨릭대학교 의과대학 비뇨기과학교실
김준철 ( Kim Joon-Chul )
가톨릭대학교 의과대학 비뇨기과학교실
황태곤 ( Hwang Tae-Kon )
가톨릭대학교 의과대학 비뇨기과학교실
김세웅 ( Kim Sae-Woong )
가톨릭대학교 의과대학 비뇨기과학교실
김수진 ( Kim Su-Jin )
가톨릭대학교 의과대학 비뇨기과학교실
이지열 ( Lee Ji-Youl )
가톨릭대학교 의과대학 비뇨기과학교실
홍성후 ( Hong Sung-Hoo )
가톨릭대학교 의과대학 비뇨기과학교실
하유신 ( Ha U-Syn )
가톨릭대학교 의과대학 비뇨기과학교실
조혁진 ( Cho Hyuk-Jin )
가톨릭대학교 의과대학 비뇨기과학교실
KMID : 0358320100510010034
Abstract
Purpose: We aimed to prove the safety and feasibility of right-sided hand-assisted laparoscopic donor nephrectomy (HALDN).
Materials and Methods: Between May 2006 and May 2009, 16 patients underwent right-sided HALDN at our institution. Of these patients, 15 showed significantly lower renal function in the right kidney than in the left one and 1 had a stone in the right kidney. When the right renal vein was divided, an EndoGIA stapling device was placed on the wall of the inferior vena cava to gain a maximal length of the vein. We evaluated intraoperative and postoperative parameters such as operative time, delivery time, warm ischemic time, estimated blood loss, intraoperative and postoperative complication rates, length of hospital stay, and serum creatinine levels of donors (at the time of discharge) and recipients (4 weeks postoperatively), comparing the right-sided HALDN group (our study) with a left-sided HALDN group (from a previously reported study).
Results: A total of 16 right-sided HALDNs were successfully performed without any complications or open conversion. All of the intraoperative and postoperative parameters were similar between the right-sided HALDN and left-sided HALDN groups. There were no technical problems in the recipients in the anastomosis of the renal vein, and the ureteral anastomoses were also successful.
Conclusions: Right-sided HALDN is safe and technically feasible in a donor, showing favorable graft outcomes. The results of our study suggest that right-sided HALDN may be preferable in patients with significantly lower renal function in the right kidney than in the left one.
키워드
Laparoscopy;Living donors;Nephrectomy;Hand
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