ISSN: 1305-3876
Hakkında: Özel sayılar şeklinde yayınlanır.
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Laparoscopic Donor Nephrectomy
Dr. Serdar KAÇAR,a Dr. Alp GÜRKANa
aİzmir Tepecik Eğitim ve Araştırma Hastanesi Organ Nakli Merkezi, İZMİR
Renal transplantation is the most effective treatment in the patients with end-stage renal disease in terms of life quality and survival. The gradually increasing number of patients in the waiting list and shortage of suitable kidneys are the most important problems in this field. Thus, rate of live donor transplantation has started increasing in the Western world. During the past 40 years, standard open nephrectomy has become a safe method for the donor and is effective for the recipient. However, laparoscopy, which has been started to be applied in various fields of surgery recently, is being used in donor surgery for kidney transplantations since 1995. In Turkey, the method has been applied successfully in our center since 2000.
Laparoscopic donor nephrectomy (LDN) has increased the willingness for donation; as well as, lessening the need for analgesics, shortening the hospital stay and accelerating the returning to normal daily activities. No difference in the complication rate has been found between open and LDN surgery in donors.
The elongation of the duration of surgery and warm ischemia time over to open technique, are the most important critics brought to LDN. However, this is not reached as a statistical difference and as more experience is gained the difference of durations decrease gradually.
With these results LDN, is candidate to be the gold standard in donor nephrectomy, as it is in all other laparoscopic surgeries.Keywords: Renal transplantation, laparoscopy, donor nephrectomy, living donorTurkiye Klinikleri J Surg Med Sci 2006, 2(21):26-30
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