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Laparoscopic live donor nephrectomy ( report of 16 cases )
Author(s): 
Pages: 669-671
Year: Issue:  10
Journal: CHINESE JOURNAL OF UROLOGY

Keyword:  腹腔镜活体供者肾切除移植;
Abstract: 目的总结腹腔镜活体供肾切取技术.方法对16例腹腔镜活体供肾切取术资料进行分析.活体供肾者16例,男7例,女9例,年龄36~53岁,平均46岁,均为左侧供肾.受者原发病均为慢性肾小球肾炎.供受者血型相同,淋巴细胞毒性试验均为阴性.结果手术成功15例,1例因术中出血改开放手术.手术时间3.1~5.2 h,出血56~270 ml,平均热缺血时间3.5 min,住院时间9~12 d.16例受者中移植肾功能延迟恢复1例,术后第5周移植肾功能恢复正常;余15例受者血清肌酐均在10 d内降至正常(SCr<146μmol/L),其中出现急性排斥反应1例,应用激素冲击治疗后逆转.结论腹腔镜活体供肾切取手术损伤小,术后恢复快,不影响肾功能.
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