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首页> 外文期刊>Surgical Endoscopy >Donor wound satisfaction after living-donor liver transplantation in the era of pure laparoscopic donor hepatectomy
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Donor wound satisfaction after living-donor liver transplantation in the era of pure laparoscopic donor hepatectomy

机译:在纯腹腔镜供体肝切除术的时代,在生活中的肝脏移植术后供体伤口满意

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Background Donor safety and cosmetic outcome are the main concerns raised by most living-donors. Pure laparoscopic living-donor hepatectomy (PLLDH) can provide the balance between those concerns. No studies evaluated the donors' satisfaction after PLLDH. The aim of this study is to evaluate the donors' satisfaction after PLLDH compared with donors who underwent open approach. Methods We randomly assigned a questionnaire (Donor satisfaction questionnaire) to the donors, operated between 2011 and 2017, during their follow-up visits in the outpatient clinic. Donors who responded to the questionnaire were included in our study. Donors were divided into 3 groups: L group (conventional inverted L incision), M group (midline incision), and PL group (laparoscopic approach). Results 149 donors were included in our study. L group included 60 donors (40.3%), M group included 39 patients (26.2%), and PL group included 50 patients (33.5%). There were no significant differences between the groups regarding preoperative and perioperative outcomes apart from shorter operation time in PL group and higher wound infection in M group. Body image scale was significantly better in PL group (p = 0.001). Cosmetic scale was significantly higher in PL group (p = 0.001). Regarding self-confidence scale, it was significantly higher in PL group (p = 0.001). There was no significant difference between the groups regarding the sense of dullness or numbness on the scar (p = 0.113). Conclusion PLLDH is safe and feasible for living-donor hepatectomy. Donors operated by pure laparoscopic approach have better satisfaction scores compared to conventional open approach.
机译:背景供者安全性和美容效果是大多数活体供者关注的主要问题。单纯腹腔镜活体供肝切除术(PLLDH)可以在这些问题之间取得平衡。没有研究评估PLLDH后捐赠者的满意度。本研究的目的是评估PLLDH后捐赠者的满意度,并与接受开放式手术的捐赠者进行比较。方法在2011年至2017年期间,在门诊随访期间,我们随机向捐赠者发放了一份问卷(捐赠者满意度问卷)。我们的研究包括对问卷做出回应的捐赠者。供体分为3组:L组(常规倒L切口)、M组(中线切口)和PL组(腹腔镜手术)。结果149名供者被纳入本研究。L组60例(40.3%),M组39例(26.2%),PL组50例(33.5%)。除了PL组手术时间较短和M组伤口感染较高外,两组之间在术前和围手术期结果方面没有显著差异。PL组的体像评分明显优于对照组(p=0.001)。PL组的美容评分显著高于对照组(p=0.001)。关于自信心量表,PL组显著高于对照组(p=0.001)。两组之间在疤痕的迟钝感或麻木感方面没有显著差异(p=0.113)。结论PLLDH用于活体供肝切除是安全可行的。与传统开腹手术相比,单纯腹腔镜手术的供体满意度得分更高。

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