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Quality of life comparison between open and retroperitoneal video-assisted minilaparotomy surgery for kidney donors

Authors
 W.K. Han  ;  H.Y. Lee  ;  H.G. Jeon  ;  D.J. Joo  ;  K.H. Rha  ;  S.C. Yang 
Citation
 TRANSPLANTATION PROCEEDINGS, Vol.42(5) : 1479-1483, 2010 
Journal Title
 TRANSPLANTATION PROCEEDINGS 
ISSN
 0041-1345 
Issue Date
2010
MeSH
Adult ; Emotions ; Female ; Health Status ; Humans ; Laparoscopy/methods* ; Living Donors* ; Male ; Middle Aged ; Nephrectomy/methods* ; Pain, Postoperative/classification ; Patient Satisfaction ; Quality of Life* ; Social Behavior ; Surveys and Questionnaires ; Video Recording
Abstract
This study compared open and video-assisted minilaparotomy surgery in live kidney donors for quality of life (QoL), pain, cosmesis, and recovery. Between January 2003 and March 2006, we reviewed data from 205 patients who underwent live-donor nephrectomy: 116 by video-assisted minilaparotomy and 89 by open surgery. Pain and satisfaction were evaluated using scales from 1 to 10, and QoL, with the 36-item Short Form questionnaire. Hospital stay was significantly shorter among the video-assisted (5.1 +/- 1.6 days) than the open group (6.9 +/- 1.3 days; P < .01). Time to resumption of walking without difficulty and normal activity was significantly shorter among the video-assisted than the open group (P<.01). The video-assisted group showed better QoL scores in 6 of 8 QoL categories, including physical role (P < .01), bodily pain (P < .01), general health (P < .01), vitality (P < .01), emotional health (P < .01), and mental health (P < .01). Patients in the video-assisted group (score, 7.3 +/- 2.4) were more satisfied with the cosmetic outcome than those in the open group (score, 5.1 +/- 3.0; P < .01). In conclusion, donors who underwent nephrectomy via video-assisted minilaparotomy showed better outcomes regarding pain, convalescence, cosmesis, and QoL than those who underwent open surgery.
Full Text
http://www.sciencedirect.com/science/article/pii/S0041134510005518
DOI
10.1016/j.transproceed.2010.01.070
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Yang, Seung Choul(양승철)
Joo, Dong Jin(주동진) ORCID logo https://orcid.org/0000-0001-8405-1531
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101152
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