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소절개창을 이용한 영상 보조수술 : 생체 공여신 적출술

Other Titles
 Video Assisted Minilaparotomy Surgery ( VAMS ) Live Donor Nephrectomy 
 나군호  ;  김유선  ;  양승철  ;  박기일  ;  김동준  ;  김순일 
 Journal of the Korean Society for Transplantation (대한이식학회지), Vol.17(2) : 186-191, 2003 
Journal Title
Journal of the Korean Society for Transplantation(대한이식학회지)
Issue Date
Minilaparotomy ; Laparoscopy ; Living donors ; Nephrectomy
Purpose: We have devised a new surgical method of video-assisted minilaparotomy surgery-live donor nephrectomy (VAMS-LDN), which is a hybridized form of laparoscopic and open surgery that combines the advantages of both. We present our series of 202 consecutive patients.

Methods: Since 1993 we have performed 202 successful VAMS-LND. All 202 healthy kidney donors’ characteristics and their postoperative courses were retrospectively reviewed and all data were compared to 95 open donor nephrectomies performed during the same period.

Results: The mean age and weight of the patients were 37.1+/-9.5 years and 61.6+/-3.3 kg, respectively. The mean operating time was 139+/-39 minutes which was similar to open donor nephrectomy but shorter than laparoscopic donor nephrectomy. There were no major intraoperative complication except two tears to lumbar veins which required transfusion. The mean warm ischemic time was 2.2+/-0.7 minutes which was equal to open donor nephrectomy. Patients experienced less postoperative pain and recovered quicker compared to open donor nephrectomy.

Conclusion: VAMS-LDN is a safe and minimally invasive technique for live donor nephrectomy, incorporating advantages of both conventional open and laparoscopic methods. VAMS-LDN is a viable option for living donor kidney transplantation.
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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
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
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