生体ドナーからの用手補助腹腔鏡下移植腎採取術100例の経験

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  • セイタイ ドナー カラ ノ ヨウシュ ホジョ フククウキョウ カ イショクジンサイシュジュツ 100レイ ノ ケイケン

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We performed 100 Hand-assisted laparoscopic kidney harvest from living donor between 2003 and 2013. Average donor age was 57 years old. Right kidney was harvested in 21 cases, left kidney in 79. The procedures were performed transperitoneally in 97 cases, and extra-peritonneally in 3. In 4 cases, the procedure was converted to open surgery. Average time of pneumoperitoneum was 242±66 minutes. No case required blood transfusion. Average warm ischemia time（WIT）was 5±2 minutes and there was no delayed graft function related to kidney harvesting. According to Clavien grading, 12 grade 1 and 8 grade 2 complications were documented. Estimated glomerular filtration declined to 60.9% of preoperative level but recovered to 64.7% at 1 year. In conclusion, this procedure can attain stable graft function, without compromising donor safety.

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