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후복막강경 보조 소절개술 하 생체 공여 신 적출술 : 수여자 결과

Authors
 이종훈 ; 김순일 ; 양승철 ; 나군호 ; 김현정 ; 전경옥 ; 박기일 ; 김유선 
Citation
 Journal of the Korean Society for Transplantation (대한이식학회지), Vol.15(2) : 172~176, 2001 
Journal Title
 Journal of the Korean Society for Transplantation (대한이식학회지) 
ISSN
 1598-1711 
Issue Date
2001
Abstract
Purpose: Laparoscopic living donor nephrectomy has recently been emerged as a very attractive measure to the standard open surgical procedure for kidney transplantation (KTx) because of many advantages. But it also has some disadvantages such as technical difficulty, impaired early graft function and expensiveness. To overcome this shortcomings, we developed a new surgical method of retroperitoneoscopy assisted live donor nephrectomy. The method has been reported as an attractive surgical methods with many advantages to donor. But, recipient's outcome is also equally important in living donor kidney transplantation. Methods: We retrospectively studied recipient's outcome between patients who received living donor kidneys from conventional open nephrectomies (Group Ⅰ, n=247) and retroperitoneoscopy assisted nephrectomies (Group Ⅱ, n=82) at our institution from March 1, 1997 and July 30, 2000. We compared postoperative complication, patient and graft survival and graft function between two groups for 12 months retrospectively. Results: Demographic data such as age, sex, kidney weight/body weight ratio; ABO compatibility; degree of HLA matching and method of immunosuppression were not different between two groups (p>0.05). Complications, such as delayed graft function, acute rejection, ureter complication, graft failure, patients motality were not different. For the evaluation of graft function, we measured serum creatinine level for 12 months after trasplantation. There also was no difference of graft function between two groups. Conclusion: Recipient's outcome in patient received kidney by retroperitoneoscopy assisted live donor nephrectomy was similar to those of patient received kidney by conventional operation.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/142201
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Urology
Yonsei Authors
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Link
 http://www.papersearch.net/view/detail.asp?detail_key=17800323&code=CP00000002
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