- 期刊
Hand-Assisted Laparoscopic Live Donor Nephrectomy: A Case Report
捐腎者之手輔助腹腔鏡腎切除術
摘要
不論在患者或移植腎存活率上，活體腎移植治療腎衰竭比屍腎移植均有較好的結果。手輔助腹腔鏡腎切除術比傳統腎切除術可減少手術引起的疼痛，加速術後復原，而且不影響腎植體所須的血管長度及缺血時間。本文報告─37歲男性捐腎者，活體腎移植與其弟弟的病例。兩患者皆為B型肝炎帶原者，捐腎者經手輔助腹腔鏡切除左腎，缺血時間為4.5分鐘，腎植體經移植手術後，迅速獲得功能，捐腎者亦在手術後順利復原，於手術後第3天出院。
關鍵字
腹腔鏡捐腎者腎切除術並列摘要
Live donor renal transplantation offers significant advantages over cadaveric renal transplantation. It yields significantly better patient and graft survival on both short-term and long-term follow-up. Laparoscopic donor nephrectomy minimizes the morbidities associated with the surgical procedure and allows a speedy return to normal daily activities. The operation also provides an atraumatic kidney subjected to minimal warm ischemia time 3.nd with adequate length of artery and vein, resulting in immediate functioning of the kidney after transplantation with a low rate of ureteral complications. A 37-year-old man was referred as a kidney donor for his brother. Both donor and recipient were hepatitis-B surface antigen carriers. Cross-matching and human leukocyte antigen test showed good compatibility. Left donor nephrectomy was performed successfully by hand-assisted laparoscopy. The warm ischemic time was 4.5 minutes and the graft kidney functioned immediately after transplantation. The donor was discharged from the hospital on postoperative Day 3 with good recovery.