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首页> 外文期刊>Surgical Endoscopy >Complications after a 5-year experience with laparoscopic donor nephrectomy: the Indiana University experience.
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Complications after a 5-year experience with laparoscopic donor nephrectomy: the Indiana University experience.

机译：腹腔镜供体肾切除术5年经验后的并发症：印第安纳大学经验。

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BACKGROUND: Laparoscopic donor nephrectomy (LDN) is becoming the standard of care for living donor nephrectomy. However, questions have been raised about the safety of LDN for the donor and about the potentially increased rates for ureteral complications experienced by the recipient. In this report, the authors review their 5-year experience with 253 living laparoscopic donor nephrectomies. METHODS: A retrospective chart review was performed for 253 laparoscopic live donors. Graft function and survival were compared using recipient postoperative creatinine values up to 12 months. RESULTS: The overall rate of complications in the investigated series was 10.3%. There were seven intraoperative complications (2.8%), three of which required open conversion. There were 19 postoperative complications (7.5%), three of which required reexploration for bleeding. The majority of complications were minor including 62% grade 1, 8% grade 2, 31% grade 3, and no grade 4 or 5 complications. There were no intraoperativecomplications in the right-sided donor group. There was a 5% complication rate for patients with a body mass index (BMI) exceeding 25. The findings showed that 11.2% of the recipients had slow graft function, and 4.4% had delayed graft function. Less than 1% of the recipients experienced ureteral stricture requiring permanent stent placement or reoperation. Overall, there was a 2% graft loss rate. CONCLUSIONS: The findings show a low rate of intraoperative and postoperative complications, most of which were minor complications. There was an increase in operative time and hospital stay in the right-sided group, but no increase in complication rate. There was no significant difference in outcome or complication rate for the overweight patients.
机译：背景：腹腔镜供体肾切除术（LDN）正成为活体供体肾切除术的护理标准。但是，人们对LDN对于供体的安全性以及接受者经历的输尿管并发症的潜在发生率提出了疑问。在这份报告中，作者回顾了他们在253个活着的腹腔镜供体肾切除术中的5年经验。方法：对253例腹腔镜活体捐献者进行回顾性图表审查。使用受体术后肌酐值（最长12个月）比较移植物功能和存活率。结果：在所研究的系列中，总的并发症发生率为10.3％。术中有7例并发症（2.8％），其中3例需要开放手术。术后有19例并发症（7.5％），其中3例需要重新探查出血。多数并发症为轻度并发症，包括62％的1级，8％的2级，31％的3级，无4或5级并发症。右侧供体组无术中并发症。体重指数（BMI）超过25的患者的并发症发生率为5％。研究结果显示，有11.2％的受体的移植物功能缓慢，有4.4％的移植物功能延迟。不到1％的接受者经历了输尿管狭窄，需要永久性放置支架或再次手术。总体而言，移植物丢失率为2％。结论：研究结果显示术中和术后并发症发生率较低，其中大多数为次要并发症。右侧组手术时间和住院时间增加，但并发症发生率没有增加。超重患者的预后或并发症发生率无显着差异。

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