Comparative and prospective analysis of three different approaches for live-donor nephrectomy
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/17872 |
Resumo: | PURPOSE: Living donor nephrectomy is usually performed by a retroperitoneal flank incision. Due to the significant morbidity and long recovery time for a flank incision, anterior extra peritoneal sub-costal and transperitoneal video-laparoscopic methods have been described for donor nephrectomy. We prospectively compare the long-term results of donors as well as functional recipients submitted to these three approaches. MATERIALS AND METHODS: A total of 107 live donor renal transplantations were prospectively evaluated from May 2001 to January 2004. Donors were compared with regard to operative and warm ischemia time, postoperative pain, analgesic requirements, and complications. Recipients were compared with regard to graft function, acute cellular rejection, surgical complications, and graft and recipient survival. RESULTS: The mean operative and warm ischemia times were longer in the video-laparoscopic group (p |
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Clinics |
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Comparative and prospective analysis of three different approaches for live-donor nephrectomy Donor nephrectomyKidney transplantationLaparoscopySurgical approachesOutcomes PURPOSE: Living donor nephrectomy is usually performed by a retroperitoneal flank incision. Due to the significant morbidity and long recovery time for a flank incision, anterior extra peritoneal sub-costal and transperitoneal video-laparoscopic methods have been described for donor nephrectomy. We prospectively compare the long-term results of donors as well as functional recipients submitted to these three approaches. MATERIALS AND METHODS: A total of 107 live donor renal transplantations were prospectively evaluated from May 2001 to January 2004. Donors were compared with regard to operative and warm ischemia time, postoperative pain, analgesic requirements, and complications. Recipients were compared with regard to graft function, acute cellular rejection, surgical complications, and graft and recipient survival. RESULTS: The mean operative and warm ischemia times were longer in the video-laparoscopic group (pHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2009-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1787210.1590/S1807-59322009000100005Clinics; Vol. 64 No. 1 (2009); 23-28 Clinics; v. 64 n. 1 (2009); 23-28 Clinics; Vol. 64 Núm. 1 (2009); 23-28 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/17872/19937Mitre, Anuar IbrahimDénes, Francisco T.Nahas, William CarlosSimões, Fabiano A.Colombo Jr., José RobertoPiovesan, Affonso C.Chambô, José L.Arap, SamiSrougi, Miguelinfo:eu-repo/semantics/openAccess2012-05-22T18:41:12Zoai:revistas.usp.br:article/17872Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-22T18:41:12Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy |
title |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy |
spellingShingle |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy Mitre, Anuar Ibrahim Donor nephrectomy Kidney transplantation Laparoscopy Surgical approaches Outcomes |
title_short |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy |
title_full |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy |
title_fullStr |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy |
title_full_unstemmed |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy |
title_sort |
Comparative and prospective analysis of three different approaches for live-donor nephrectomy |
author |
Mitre, Anuar Ibrahim |
author_facet |
Mitre, Anuar Ibrahim Dénes, Francisco T. Nahas, William Carlos Simões, Fabiano A. Colombo Jr., José Roberto Piovesan, Affonso C. Chambô, José L. Arap, Sami Srougi, Miguel |
author_role |
author |
author2 |
Dénes, Francisco T. Nahas, William Carlos Simões, Fabiano A. Colombo Jr., José Roberto Piovesan, Affonso C. Chambô, José L. Arap, Sami Srougi, Miguel |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Mitre, Anuar Ibrahim Dénes, Francisco T. Nahas, William Carlos Simões, Fabiano A. Colombo Jr., José Roberto Piovesan, Affonso C. Chambô, José L. Arap, Sami Srougi, Miguel |
dc.subject.por.fl_str_mv |
Donor nephrectomy Kidney transplantation Laparoscopy Surgical approaches Outcomes |
topic |
Donor nephrectomy Kidney transplantation Laparoscopy Surgical approaches Outcomes |
description |
PURPOSE: Living donor nephrectomy is usually performed by a retroperitoneal flank incision. Due to the significant morbidity and long recovery time for a flank incision, anterior extra peritoneal sub-costal and transperitoneal video-laparoscopic methods have been described for donor nephrectomy. We prospectively compare the long-term results of donors as well as functional recipients submitted to these three approaches. MATERIALS AND METHODS: A total of 107 live donor renal transplantations were prospectively evaluated from May 2001 to January 2004. Donors were compared with regard to operative and warm ischemia time, postoperative pain, analgesic requirements, and complications. Recipients were compared with regard to graft function, acute cellular rejection, surgical complications, and graft and recipient survival. RESULTS: The mean operative and warm ischemia times were longer in the video-laparoscopic group (p |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/17872 10.1590/S1807-59322009000100005 |
url |
https://www.revistas.usp.br/clinics/article/view/17872 |
identifier_str_mv |
10.1590/S1807-59322009000100005 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/17872/19937 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 64 No. 1 (2009); 23-28 Clinics; v. 64 n. 1 (2009); 23-28 Clinics; Vol. 64 Núm. 1 (2009); 23-28 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1824324333420412928 |