2006, Number 3
Comparación entre nefrectomía abierta y la nefrectomía laparoscópicamanoasistidaenpacientesdonadoresvivosrelacionados
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Language: Spanish
References: 16
Page: 92-95
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ABSTRACT
Objective: The objective of this study is to demonstrate our initial experience with hand assisted laparoscopic nephrectomy for alive related donors renal transplant in Regional Hospital Valentin Gomez Farias. Material and methods: A retrospective study was made reviewing files of related alive donors between February of 2004 and January of 2005. Parameters like bleeding, surgical time, postsurgical pain, days of incapacity and graft viability were those taken into account for this study. Results: A total of 12 patients studied of who four were women with a rank of age between 23 and 42 years and eight men with a rank of age between 22 and 49 years. Hand assisted laparoscopic nephrectomy was made to 12 of them with a surgical time average of 260 minutes and a 196 mL blood loss average with just one transfusion, the hospital stay average was of 2,4 days, cold ischemia time average was 66 minutes and hot ischemia of 96 seconds. Complications were only reported in three patients (all of the abdominal distention group, venous thrombosis of MPD, eventration and necessity of blood transfusion). Pain reported average was of five (EVA). Conclusions: Hand assisted laparoscopic nephrectomy for renal donation is a safe, reproducible procedure with low indices of morbidity and offers advantages on conventional techniques in relation to pain, days of incapacity, cosmetic and patient’s acceptance. Nevertheless, we are conscious that time of hot ischemia should be improved, as well as the surgical time, taking in consideration that this study is part of pilot group, same in which the sample will be increased to be able to do a statistical analysis that provides more suitable parameters for our hospital.REFERENCES
Annual Report of the US Scientific Registry of Transplant Recipients and Organ Procurement and Transplantation Network-Transplant Data: 1988-1997. United Network for Organ Sharing (UNOS) and Division of Transplantation, Bureau of Health Resources and Services Administration. Rockville, Maryland: United States Department of Health and Human Services; 1998.
Ratner LE, Montgomery RA, Cohen C, et al. Laparoscopic live donor nephrectomy: the recipient. Transplantation 1998; 65: S109. 10.Fabrizio MD, Ratne, LE, Montgomery RA, et al. Laparoscopic live donor nephrectomy. Urol Clin North Am 1999; 26: 247. 11.Wolf JS, et al. Hand-assisted laparoscopic live donor nephrectomy. Urology 1998; 52: 885. 12.Chan DY, Su L, Kavoussi LR. Ralpid ligation of renal helium during transperitoneal laparoscopic nephrectomy. Urology 2001; 57: 360.