NEFRECTOMÍA LAPAROSCÓPICA DE DONANTE VIVO: EXPERIENCIA DE 75 CASOS CONSECUTIVOS
Jorge Aguiló M, Carlos Matus F, Luis Leiva L, Pablo Pérez C, Felipe Castillo H, Jorge Vergara M, Jorge Gaete V, Pablo Alarcón T, Daniel Donoso P
2015
Revista Chilena de Cirugía
live donor laparoscopic nephrectomy. experience in 75 cases Background: Live Donor Laparoscopic nephrectomy (LDLn) has substantial benefits when compared with open nephrectomy such as shorter hospital stay, prompt return to work, less post-operative pain, better cosmetic results, less blood loss and less surgical wound infections. It is the mode of choice for safely harvesting a kidney for organ transplantation. aim: To describe the surgical results of LDLn in a pioneer renal transplant center
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... n Chile. material and methods: Review of clinical records of 75 subjects aged 27 to 60 years (37 males) subjected to a LDLn in a public hospital between 1998 and 2013. Information about clinical and surgical data and perioperative complications was retrieved. results: no subject died. All kidneys were satisfactorily implanted in their receptors. The mean operative time was 116 minutes. Mean hospital stay was 1.6 days, warm ischemia time was 6.8 minutes, and cold ischemia time was 31.5 minutes. Operative adverse events occurred in 8%. The conversion and reoperation rates were 4 and 1.3%, respectively. Among receptors, 1.5% evolved with Acute Tubular necrosis and 2.2% required graft excision. conclusions: LDLn is a safe and pioneering surgical technique in Chile. Its results are satisfactory and comparable to those obtained with classic lumbotomy. Key words: Live donor, kidney transplantation, laparoscopic nephrectomy. resumen introducción: El trasplante renal es en la actualidad el tratamiento de elección de la Insuficiencia Renal Crónica Terminal. La nefrectomía Laparoscópica del Donante Vivo (nLDV) tiene ventajas sustanciales en relación a la nefrectomía Clásica. Entre estas se destacan una menor estancia hospitalaria, pronto regreso a la actividad laboral, disminución del dolor post-operatorio, mejores resultados cosméticos, menor pérdida de volumen sanguíneo y una disminución de infecciones de heridas operatorias, consolidándose como la primera prioridad como forma de obtener un órgano para trasplante renal. El presente trabajo tiene como objetivo
doi:10.4067/s0718-40262015000100009
fatcat:brkzlvbxybfcxgcgirho3afxra