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- W2347510103 abstract "Objective To discuss the choice of approaches in live donor nephrectomy,and compare the clinical effects of two approaches which on the edge of epigastrct through extraperitoneal or intraperitoneal passage in living related kidney donors.Methods From June 2003 to November 2009,68 living related kidney donors underwent nephrectomy had been divided into two groups basing on the different surgical approaches.42 cases who received nephrectomy through retroperitoneal were enrolled into observation group,and 26 cases who underwent trans-peritoneal nephrectomy were enrolled into control group.These clinical data had been compared between the two groups such as the operating time,quantity of bleeding,anal exhaust time,complication of intra-operation and postoperation,mean hospitalization days,warm ischemia time and artery lengths of graft kidney of the donors.Results The operating times were 180±20 and 188±25 min in observe group and control group,the quantity of bleeding were 80±20 and 80±40 ml in observe group and control group,the warm ischemia time of the grafted renal were 2.5±1.3 and 2.2±1.4 min in observe group and control group,the artery lengths of grafted kidney were 25.1±5.2 and 24.5±6.3 mm in observe group and control group,there were no significantly difference between the two group.But,the anal exhaust time were 1.5±0.5 and 2.2±0.8 days in observe group and control group,the mean hospitalization days were 10.5±3.1 and 13.6±3.5 days in observe group and control group,these had statistical significance(P 0.05),There are 1 case with pulmonary atelectasis after operation in observe group,but 2 cases with injury of spleen,1 case with injury of colon and 1 case with incomplete intestinal obstruction in control group,and there were significantly difference between the two group on complication(P 0.05).Conclusion The retroperitoneal surgical approach is better than that of trans-peritoneal in nephrectomy.The donors come back rapidly and have less complications." @default.
- W2347510103 created "2016-06-24" @default.
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- W2347510103 date "2011-01-01" @default.
- W2347510103 modified "2023-09-23" @default.
- W2347510103 title "Comparison between two operation approaches in live donor nephrectomy" @default.
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