Hand-assisted Laparoscopic Donor Surgery for Living Donor Pancreas and Kidney Transplantation: A Single Center Experience / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 178-183, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-65263
ABSTRACT
BACKGROUND:
In this era of donor shortage, use of organs from living donors has increased significantly. Nonetheless, less than 1% of pancreas transplantations involve living donors, despite the immunological benefits, reduced cold ischemic time, and decreased waiting time. One reason for the paucity of donors is the high morbidity after open surgery. Using hand-assisted laparoscopic donor surgery (HALDS) can be a favorable technique for living donors.METHODS:
Using HALDS, we performed three Simultaneous pancreas-kidney transplantations (SPKs) involving living donors. Two donors were women; one was a man.RESULTS:
Their mean age was 34.3±4.7 years, and their body mass index was 23.2±2.36 kg/m². The mean operation time was 241±19.0 minutes and the mean cold-ischemic time of the kidney was 42.7±9.8 minutes, while that of the pancreas was 64.3±5.2 minutes. One donor developed a pancreatic fistula, which was controlled using conservative management. The donors' pancreatic and renal functions were well preserved postoperatively.CONCLUSIONS:
HALDS for SPKs can be performed without significant complications if the surgeon has sufficient skill.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pancréas
/
Donneurs de tissus
/
Indice de masse corporelle
/
Transplantation rénale
/
Fistule pancréatique
/
Transplantation pancréatique
/
Donneur vivant
/
Ischémie froide
/
Laparoscopie assistée manuellement
/
Rein
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
The Journal of the Korean Society for Transplantation
Année:
2016
Type:
Article
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