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Favorable outcomes among recipients of living-donor nephrectomy using video-assisted minilaparotomy

Authors
 KAREEM M. ABU-ELMAGD  ;  MARSHA ZAK  ;  JORGE D. REYES  ;  JOHN J. FUNG  ;  ANTHONY J. DEMETRIS  ;  AMADEO MARCOS  ;  RAKESH K. SINDHI  ;  GEORGE V. MAZARIEGOS  ;  MICHAEL A. NALESNIK  ;  TONG WU  ;  GUILHERME COSTA  ;  MOHAMED EZZELARAB  ;  ADA O. YOUK  ;  ASHOK JAIN  ;  GEOFF J. BOND  ;  JUNE M. STAMOS 
Citation
 TRANSPLANTATION, Vol.77(15) : 1725-1728, 2004 
Journal Title
TRANSPLANTATION
ISSN
 0041-1337 
Issue Date
2004
MeSH
Adult ; Female ; Graft Rejection/epidemiology ; Humans ; Incidence ; Kidney Transplantation/mortality ; Laparotomy/adverse effects ; Laparotomy/methods* ; Living Donors* ; Male ; Middle Aged ; Nephrectomy/adverse effects* ; Nephrectomy/methods* ; Retrospective Studies ; Surgery, Computer-Assisted* ; Television* ; Treatment Outcome
Abstract
BACKGROUND:
Minimally invasive, living-donor nephrectomy (LDN) is an attractive procedure for the donor in kidney transplantation (KTx). Its advantages include better cosmesis, shorter hospital stay, and rapid recovery. The most commonly performed, minimally invasive nephrectomy is done laparoscopically. However, the technical challenges, a steep learning curve for the surgeon, the risk of impaired early graft function, and the high cost of the procedure, have prevented minimally invasive LDN from gaining wide acceptance. To overcome these problems, we have developed a new surgical procedure named video-assisted minilaparotomy (VAM) for LDN. VAM-LDN is performed entirely with a small retrieval incision. Moreover, it does not require the induction of pneumoperitoneum, thereby avoiding potential vascular and renal complications.
METHODS:
We evaluated the outcome of transplant recipients receiving kidneys with the VAM-LDN procedure by retrospectively comparing the surgical outcomes of patients who underwent KTx with the conventional open nephrectomy (group I, n=82) and VAM-LDN (group II, n=70) procedures from March 1, 1997, to June 30, 2002, at our institution. We compared postoperative complications, patient and graft survival, and graft functions between these two groups during a 12-month follow-up period.
RESULTS:
There were no differences in demographic data, ABO compatibility, degree of human leukocyte antigen matching, or method of immunosuppression between the two groups (P >0.05). No significant difference was observed in complications such as delayed graft function, acute rejection, ureter complication, graft failure, or patient's mortality. There was no difference in graft function between the two groups, as determined by serum creatinine level measured during the 12-month follow-up.
CONCLUSION:
The short-term recipient outcome was favorable in patients who underwent KTx with the VAM-LDN procedure.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00007890-200406150-00017&LSLINK=80&D=ovft
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yu Seun(김유선) ORCID logo https://orcid.org/0000-0002-5105-1567
Yang, Seung Choul(양승철)
Hong, Sung Joon(홍성준) ORCID logo https://orcid.org/0000-0001-9869-065X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111420
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