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We re-started living kidney transplant in June 2006 after 20 years of interval at Hirosaki University Hospital. We sequentially changed procedure of living donor nephrectomy. First, donor nephrectomy was carried out by open surgery with a small incision (10 cm). We then introduced laparoscopic retroperitoneal approach followed by laparoscopic intraperitoneal approach. Here, operative and clinical outcome of the three alternatives of donor nephrectomy was evaluated.\nMethods. Twenty-seven cases who underwent living donor nephrectomy between June 2006 and July 2011 at Hirosaki University Hospital were enrolled. There were 12 males and 15 females with a mean age of 54.3 years. We performed 7 open donor nephrectomy with a small incision, 5 laparoscopic retroperitoneal donor nephrectomy, and 15 laparoscopic intraperitoneal donor nephrectomy.\nResults. Operation time was 155 min., 250 min., and 214 min., respectively. Estimated blood loss was 310 g, 100g, and 95g, respectively. 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Comparison of Three Alternatives for Living Donor Nephrectomy
http://hdl.handle.net/10129/4879
http://hdl.handle.net/10129/4879f9e31b07-5001-485c-9fd3-aa9a2cbcba9c
名前 / ファイル | ライセンス | アクション |
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HirosakiMedJ_64_S129.pdf (270.7 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-04-30 | |||||
タイトル | ||||||
タイトル | Comparison of Three Alternatives for Living Donor Nephrectomy | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | living kidney transplant | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | open donor nephrectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | laparoscopic living donor nephrectomy | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Yoneyama, Tohru
× Yoneyama, Tohru× Ishibashi, Yusuke× Okamoto, Teppei× Suzuki, Yuichiro× Tobisawa, Yuki× Hatakeyama, Shingo× Kudo, Shigemasa× Koie, Takuya× Kamimura, Noritaka× Ohyama, Chikara |
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著者(ヨミ) | ||||||
姓名 | ヨネヤマ, タカヒロ | |||||
著者(ヨミ) | ||||||
姓名 | イシバシ, ユウスケ | |||||
著者(ヨミ) | ||||||
姓名 | オカモト, テッペイ | |||||
著者(ヨミ) | ||||||
姓名 | スズキ, ユウイチロウ | |||||
著者(ヨミ) | ||||||
姓名 | トビサワ, ユウキ | |||||
著者(ヨミ) | ||||||
姓名 | ヨネヤマ, トオル | |||||
著者(ヨミ) | ||||||
姓名 | ハタケヤマ, シンゴ | |||||
著者(ヨミ) | ||||||
姓名 | クドウ, シゲマサ | |||||
著者(ヨミ) | ||||||
姓名 | コイエ, タクヤ | |||||
著者(ヨミ) | ||||||
姓名 | カミムラ, ノリタカ | |||||
著者(ヨミ) | ||||||
姓名 | オオヤマ, チカラ | |||||
著者別名 | ||||||
姓名 | 米山, 高弘 | |||||
著者別名 | ||||||
姓名 | 石橋, 祐介 | |||||
著者別名 | ||||||
姓名 | 岡本, 哲平 | |||||
著者別名 | ||||||
姓名 | 鈴木, 裕一朗 | |||||
著者別名 | ||||||
姓名 | 飛澤, 悠葵 | |||||
著者別名 | ||||||
姓名 | 米山, 徹 | |||||
著者別名 | ||||||
姓名 | 畠山, 真吾 | |||||
著者別名 | ||||||
姓名 | 工藤, 茂将 | |||||
著者別名 | ||||||
姓名 | 古家, 琢也 | |||||
著者別名 | ||||||
姓名 | 神村, 典孝 | |||||
著者別名 | ||||||
姓名 | 大山, 力 | |||||
著者所属 | ||||||
Department of Urology, Hirosaki Graduate School of Medicine | ||||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background. We re-started living kidney transplant in June 2006 after 20 years of interval at Hirosaki University Hospital. We sequentially changed procedure of living donor nephrectomy. First, donor nephrectomy was carried out by open surgery with a small incision (10 cm). We then introduced laparoscopic retroperitoneal approach followed by laparoscopic intraperitoneal approach. Here, operative and clinical outcome of the three alternatives of donor nephrectomy was evaluated. Methods. Twenty-seven cases who underwent living donor nephrectomy between June 2006 and July 2011 at Hirosaki University Hospital were enrolled. There were 12 males and 15 females with a mean age of 54.3 years. We performed 7 open donor nephrectomy with a small incision, 5 laparoscopic retroperitoneal donor nephrectomy, and 15 laparoscopic intraperitoneal donor nephrectomy. Results. Operation time was 155 min., 250 min., and 214 min., respectively. Estimated blood loss was 310 g, 100g, and 95g, respectively. Warm ischemic time was 2.0 min., 3.0 min., and 3.0 min., respectively. Patients who underwent laparoscopic donor nephrectomy cloud start to walk significantly earlier than those who underwent open donor nephrectomy. There were no surgical complications, nor conversion to open donor nephrectomy from laparoscopic donor nephrectomy. There were no significant difference with post-operative serum creatinine concentration in the donors among the three operation procedures. Conclusions. Safety procedure is the most important for living donor nephrectomy. Laparoscopic donor nephrectomy is safe and associated with early recovery of the donors. Longer and careful observation is necessary for renal function of the donors. |
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引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 弘前医学. 64(Suppl.), 2013, p.S129-S133 | |||||
書誌情報 |
弘前医学 巻 64, 号 Supplement, p. S129-S133, 発行日 2013-04-02 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0439-1721 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00211444 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
日本十進分類法 | ||||||
主題Scheme | NDC | |||||
主題 | 490 | |||||
NIIサブジェクト | ||||||
主題Scheme | Other | |||||
主題 | 医学 | |||||
出版者 | ||||||
出版者 | 弘前大学大学院医学研究科・弘前医学会 | |||||
資源タイプ | ||||||
値 | Article |