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Erfaringer med laparoskopisk donornefrektomi på Herlev Hospital

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@article{d86a1432836f45cb99cbbbddab2f6cdf,
title = "Erfaringer med laparoskopisk donornefrektomi p{\aa} Herlev Hospital",
abstract = "INTRODUCTION: The purpose of this investigation was to evaluate the morbidity and convalescence of donors after laparoscopic nephrectomy. Transperitoneal laparoscopy was initiated at Herlev University Hospital in November 2002.MATERIALS AND METHODS: All 24 records from patients who underwent laparoscopic donor nephrectomy were reviewed. Demographic data and perioperative data were collected.RESULTS: Median operation time was 162 min. Estimated blood loss was 200 ml and warm ischemia time 5 min. Postoperative side effects were nausea/vomiting (nine patients) and shoulder pain (two patients). Most serious complication was bleeding, leading to laparotomy the day of surgery in one patient. Other complications were ileus due to herniation of small intestine in porthole 1/24, wound infection 3/24, vaso-vagal episode 1/24, bronchospasms with CO2-retention 1/24, pneumonia 1/24. Length of stay was three days. Return to activities of daily life after 3-4 weeks. Typical analgesics were ketorolac and paracetamol. No laparoscopic procedures were converted to open surgery. There was no mortality. One year graft survival is 96%.CONCLUSION: Transperitoneal laparoscopic donor nephrectomy can be performed safely without serious complications. It is a good alternative to the conventional open approach. No laparoscopic procedures were converted to open nephrectomy. These results are similar to experiences from large centres.",
keywords = "Adult, Aged, Clinical Competence, Denmark, Female, Graft Survival, Humans, Kidney Transplantation, Laparoscopy, Male, Middle Aged, Nephrectomy, Postoperative Complications, Tissue Donors, Treatment Outcome, English Abstract, Journal Article",
author = "Lene Boesby and Bjarne Kromann-Andersen and Bj{\o}rn Edwin and Hansen, {Jesper Melchior}",
year = "2007",
month = feb,
day = "12",
language = "Dansk",
volume = "169",
pages = "598--601",
journal = "Ugeskrift for Laeger",
issn = "0041-5782",
publisher = "Almindelige Danske Laegeforening",
number = "7",

}

RIS

TY - JOUR

T1 - Erfaringer med laparoskopisk donornefrektomi på Herlev Hospital

AU - Boesby, Lene

AU - Kromann-Andersen, Bjarne

AU - Edwin, Bjørn

AU - Hansen, Jesper Melchior

PY - 2007/2/12

Y1 - 2007/2/12

N2 - INTRODUCTION: The purpose of this investigation was to evaluate the morbidity and convalescence of donors after laparoscopic nephrectomy. Transperitoneal laparoscopy was initiated at Herlev University Hospital in November 2002.MATERIALS AND METHODS: All 24 records from patients who underwent laparoscopic donor nephrectomy were reviewed. Demographic data and perioperative data were collected.RESULTS: Median operation time was 162 min. Estimated blood loss was 200 ml and warm ischemia time 5 min. Postoperative side effects were nausea/vomiting (nine patients) and shoulder pain (two patients). Most serious complication was bleeding, leading to laparotomy the day of surgery in one patient. Other complications were ileus due to herniation of small intestine in porthole 1/24, wound infection 3/24, vaso-vagal episode 1/24, bronchospasms with CO2-retention 1/24, pneumonia 1/24. Length of stay was three days. Return to activities of daily life after 3-4 weeks. Typical analgesics were ketorolac and paracetamol. No laparoscopic procedures were converted to open surgery. There was no mortality. One year graft survival is 96%.CONCLUSION: Transperitoneal laparoscopic donor nephrectomy can be performed safely without serious complications. It is a good alternative to the conventional open approach. No laparoscopic procedures were converted to open nephrectomy. These results are similar to experiences from large centres.

AB - INTRODUCTION: The purpose of this investigation was to evaluate the morbidity and convalescence of donors after laparoscopic nephrectomy. Transperitoneal laparoscopy was initiated at Herlev University Hospital in November 2002.MATERIALS AND METHODS: All 24 records from patients who underwent laparoscopic donor nephrectomy were reviewed. Demographic data and perioperative data were collected.RESULTS: Median operation time was 162 min. Estimated blood loss was 200 ml and warm ischemia time 5 min. Postoperative side effects were nausea/vomiting (nine patients) and shoulder pain (two patients). Most serious complication was bleeding, leading to laparotomy the day of surgery in one patient. Other complications were ileus due to herniation of small intestine in porthole 1/24, wound infection 3/24, vaso-vagal episode 1/24, bronchospasms with CO2-retention 1/24, pneumonia 1/24. Length of stay was three days. Return to activities of daily life after 3-4 weeks. Typical analgesics were ketorolac and paracetamol. No laparoscopic procedures were converted to open surgery. There was no mortality. One year graft survival is 96%.CONCLUSION: Transperitoneal laparoscopic donor nephrectomy can be performed safely without serious complications. It is a good alternative to the conventional open approach. No laparoscopic procedures were converted to open nephrectomy. These results are similar to experiences from large centres.

KW - Adult

KW - Aged

KW - Clinical Competence

KW - Denmark

KW - Female

KW - Graft Survival

KW - Humans

KW - Kidney Transplantation

KW - Laparoscopy

KW - Male

KW - Middle Aged

KW - Nephrectomy

KW - Postoperative Complications

KW - Tissue Donors

KW - Treatment Outcome

KW - English Abstract

KW - Journal Article

M3 - Tidsskriftartikel

C2 - 17311754

VL - 169

SP - 598

EP - 601

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 7

ER -

ID: 49827734