Impact of Fellowship Training in Initiating a Laparoscopic Donor Nephrectomy Program
作者： Kamran P. Sajadi , James J. Wynn , James A. Brown
关键词: Operative time 、 Surgery 、 Liver transplantation 、 Laparoscopy 、 Medicine 、 Creatinine 、 Nephrectomy 、 Fellowship training 、 Blood loss 、 Warm Ischemic Time
摘要: Objectives: Laparoscopic donor nephrectomy (LDN) is the current standard of care, but remains a challenging procedure. A urologist at our center performed 6 months and hand-assisted laparoscopic (HALN) fellowship (46 cases, 30 as surgeon). He subsequently HAL renal surgeries prior to initiating (HALDN) program. Methods: We reviewed intra- postoperative outcomes first 20 HALDNs center. examined demographics, estimated blood loss (EBL), operative time, complications, change in hemoglobin creatinine, length hospital stay, warm ischemic recipient outcome. Results: Twenty (20) patients underwent HALDN between November 2003 December 2005. The mean time was 277 minutes. EBL averaged 176 mL. An expected rise creatinine 0.1–0.8 mg/dL occurred all patients. One (1) patient had splenic abrasion transfused intraoperatively. Two (2) patients' courses...
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Eugene J. Schweitzer, Jessica Wilson, Stephen Jacobs, Carol H. Machan, Benjamin Philosophe, Alan Farney, John Colonna, Bruce E. Jarrell, Stephen T. Bartlett, Increased rates of donation with laparoscopic donor nephrectomy. Annals of Surgery. ,vol. 232, pp. 392- 400 ,(2000) , 10.1097/00000658-200009000-00011
Li-Ming Su, Lloyd E. Ratner, Robert A. Montgomery, Thomas W. Jarrett, Bruce J. Trock, Vladimir Sinkov, Rachel Bluebond-Langner, Louis R. Kavoussi, Laparoscopic live donor nephrectomy: trends in donor and recipient morbidity following 381 consecutive cases. Annals of Surgery. ,vol. 240, pp. 358- 363 ,(2004) , 10.1097/01.SLA.0000133351.98195.1C
KRIS E. GASTON, DOMINIC T. MOORE, RAJ S. PRUTHI, Hand-Assisted Laparoscopic Nephrectomy:: Prospective Evaluation of the Learning Curve The Journal of Urology. ,vol. 171, pp. 63- 67 ,(2004) , 10.1097/01.JU.0000099400.50350.9B
Joseph R. Leventhal, Burak Kocak, Paolo R.O. Salvalaggio, Alan J. Koffron, Talia B. Baker, Dixon B. Kaufman, Jonathan P. Fryer, Michael M. Abecassis, Frank P. Stuart, Laparoscopic donor nephrectomy 1997 to 2003: lessons learned with 500 cases at a single institution. Surgery. ,vol. 136, pp. 881- 890 ,(2004) , 10.1016/J.SURG.2004.06.025
Colin H. Wilson, Aftab A. Bhatti, David A. Rix, Naeem A. Soomro, Comparison of laparoscopic and open donor nephrectomy: UK experience BJUI. ,vol. 95, pp. 131- 135 ,(2005) , 10.1111/J.1464-410X.2004.05264.X
M. Giessing, Laparoscopic living-donor nephrectomy Nephrology Dialysis Transplantation. ,vol. 19, ,(2004) , 10.1093/NDT/GFH1039
L. R. Kavoussi, H. S. Kaufman, R. G. Moore, Francisco G Cigarroa, L. J. Ciseck, L. E. Ratner, Laparoscopic live donor nephrectomy Transplantation. ,vol. 60, pp. 1047- 1049 ,(1995)
BRENT K. HOLLENBECK, BRIAN D. SEIFMAN, J. STUART WOLF, Clinical skills acquisition for hand-assisted laparoscopic donor nephrectomy. The Journal of Urology. ,vol. 171, pp. 35- 39 ,(2004) , 10.1097/01.JU.0000099680.27793.C5
Concepcion W, Ojogho On, Ruckle Hc, Baron Pw, Baldwin Dd, Hadley Hr, Hand-assisted laparoscopic donor nephrectomy is safe and results in increased kidney donation. American Surgeon. ,vol. 70, pp. 901- 905 ,(2004)