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KMID : 0361120010150020172
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Korean Journal of Transplantation
2001 Volume.15 No. 2 p.172 ~ p.176
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Retroperitoneoscopy-Assisted Living Donor Nephrectomy: Recipient's Outcome
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이종훈*,†/Jong Hoon Lee*,†
김순일*,†/김유선*,†/박기일*,†/나군호/양승철/김현정*/전경옥*/Soon Il Kim*,†/Yu Seun Kim*,†/Ki Il Park*,†/Koon Ho Rha/Seung Choul Yang/Hyun Jung Kim*/Kyung Ock Jeon*
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Abstract
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Purpose: Laparoscopic living donor nephrectomy has recently been emerged as a very attractive measure to the standard open surgical procedure for kidney transplantation (KTx) because of many advantages. But it also has some disadvantages
such as
technical difficulty, impaired early graft function and expensiveness. To overcome this shortcomings, we developed a new surgical method of retroperitoneoscopy assisted live donor nephrectomy. The method has been reported as an attractive
surgical
methods with many advantages to donor. But, recipient's outcome is also equally important in living donor kidney transplantation. Methods: We retrospectively studied recipient's outcome between patients who received living donor kidneys
from
conventional open nephrectomies (Group Ⅰ, n=247) and retroperitoneoscopy assisted nephrectomies (Group Ⅱ, n=82) at our institution from March 1, 1997 and July 30, 2000. We compared postoperative complication, patient and graft survival and
graft
function between two groups for 12 months retrospectively. Results: Demographic data such as age, sex, kidney weight/body weight ratio; ABO compatibility; degree of HLA matching and method of immunosuppression were not different between
two
groups (p>0.05). Complications, such as delayed graft function, acute rejection, ureter complication, graft failure, patients motality were not different. For the evaluation of graft function, we measured serum creatinine level for 12 months
after
trasplantation. There also was no difference of graft function between two groups. Conclusion: Recipient's outcome in patient received kidney by retroperitoneoscopy assisted live donor nephrectomy was similar to those of patient received
kidney
by conventional operation.
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