Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Laparoscopic or open surgery for living donor nephrectomy
Autore:
Lennerling, A; Blohme, I; Ostraat, O; Lonroth, H; Olausson, M; Nyberg, G;
Indirizzi:
Sahlgrens Univ Hosp, Div D, Transplant Unit, S-41345 Gothenburg, Sweden Sahlgrens Univ Hosp Gothenburg Sweden S-41345 S-41345 Gothenburg, Sweden
Titolo Testata:
NEPHROLOGY DIALYSIS TRANSPLANTATION
fascicolo: 2, volume: 16, anno: 2001,
pagine: 383 - 386
SICI:
0931-0509(200102)16:2<383:LOOSFL>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPERIENCE;
Keywords:
graft function; hospital stay; kidney transplantation; laparoscopic nephrectomy; living-donor nephrectomy; post-operative pain;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Nyberg, G Sahlgrens Univ Hosp, Div D, Transplant Unit, S-41345 Gothenburg,Sweden Sahlgrens Univ Hosp Gothenburg Sweden S-41345 thenburg, Sweden
Citazione:
A. Lennerling et al., "Laparoscopic or open surgery for living donor nephrectomy", NEPH DIAL T, 16(2), 2001, pp. 383-386

Abstract

Background. The anterior extraperitoneal approach for living donor nephrectomy has been used in mol-e than 700 living cases in the unit and proved tobe safe for the donor. In 1998, laparoscopic nephrectomy was introduced asan option when technically feasable. We found it essential to investigate the consequences of the new technique. Subjects and methods. One hundred living donor kidney transplantations were performed from 1998 to June 2000, 45 with laparoscopic, 55 with open nephrectomy. The donors took part in a structured interview 4 weeks after the donation and their responses were categorized in three classes. Results, In each group, one recipient had delayed initial function. The serum creatinine levels after 3 and 7 days or the GFR Values after 6 months did not differ. One graft has been lost following laparoscopic nephrectomy and four after open surgery. For the laparoscopy donors, the median number of post-operative days in hospital was 5.0 days (range 2-9), vs 6.0 (4-8) after open surgery (NS). The requirement of opoid analgesics post-operativelywas 5.0 closes (1-22) vs 6.0 (1 38) (P = 0.02); and after 4 weeks, 23 Of 45 laparoscopic donors were free of pain vs eight of 55 open nephrectomy donors (P = 0.0004). Approximately one-third of all donors felt some restriction of physical activity and the majority complained of impaired physical energy, There were no differences between the groups. The duration of sick-leave after laparoscopic surgery was median 6 (2-19) weeks vs 7 (1-16) (NS). Conclusions, Laparoscopic nephrectomy is safe. Less post-operative pain isa definite advantage for the donor.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 16:21:51