Laparoscopic Live Donor Nephrectomy with Vaginal Extraction: Initial Report

被引：29

作者：

Allaf, M. E. ^{[2
]}

Singer, A. ^{[1
]}

Shen, W. ^{[3
]}

Green, I. ^{[3
]}

Womer, K. ^{[4
]}

Segev, D. L. ^{[1
]}

Montgomery, R. A. ^{[1
]}

机构：

[1] Johns Hopkins Med Inst, Dept Surg, Div Transplant Surg, Baltimore, MD 21205 USA

[2] Johns Hopkins Med Inst, James Buchanan Brady Urol Inst, Dept Urol, Baltimore, MD 21205 USA

[3] Johns Hopkins Med Inst, Dept Obstet & Gynecol, Baltimore, MD 21205 USA

[4] Johns Hopkins Med Inst, Dept Med, Div Nephrol, Baltimore, MD 21205 USA

来源：

AMERICAN JOURNAL OF TRANSPLANTATION | 2010年 / 10卷 / 06期

关键词：

Donor benefits; laparoscopy; laparoscopic technique; INTACT SPECIMEN; CHOLECYSTECTOMY; KIDNEY;

D O I：

10.1111/j.1600-6143.2010.03131.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The recent decrease in the total number of living kidney transplants coupled with the increase in the number of candidates on the waiting list underscores the importance of eliminating barriers to living kidney donation. We report what we believe to be the first pure right-sided laparoscopic live donor nephrectomy with extraction of the kidney through the vagina. The warm ischemia time was 3 min and the renal vessels and ureter of the procured kidney were of adequate length for routine transplantation. The donor did not receive any postoperative parenteral narcotic analgesia, was discharged home within 24 h and was back to normal activity in 14 days. The kidney functioned well with no complications or infections. Laparoscopic live donor nephrectomy with vaginal extraction may be a viable alternative to open and standard laparoscopic approaches. Potential advantages include reduced postoperative pain, shorter hospital stay and convalescence and a more desirable cosmetic result. These possible, but yet unproven, advantages may encourage more individuals to consider live donation.

引用

页码：1473 / 1477

页数：5

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