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目的 探讨利用手辅助腹腔镜及开放手术切取亲属活体供肾两种不同手术方法的可行性及临床效果。方法 分别采用手辅助腹腔镜及开放手术进行亲属活体供肾切取 ,常规方法移植给受者 ,并对肾移植供、受者的恢复情况进行观察。结果 2例均成功切取左肾并移植给受者 ,热缺血时间分别为 3min及 3 0s ,血管开放后 5min及 2min供肾泌尿 ,无排斥反应及并发症。供者术后 6d及 7d出院 ,无并发症。结论 手辅助腹腔镜及开放手术行供肾切取在技术上均安全 ,对供肾功能无影响。手辅助腹腔镜对供者创伤相对小 ,恢复快 ;开放手术时供肾的热缺血时间更短
Objective To explore the feasibility and clinical effect of two different surgical methods of hand-assisted laparoscopic and open surgery for the removal of living donor kidneys. Methods The hand-assisted laparoscopic and open surgery were used for the living donor kidney excision, and the recipients were routinely transplanted to the recipient. The recovery of the donor and recipient recipients was observed. Results Both of the two cases were successfully resected and transplanted to the recipient. The warm ischemic time was 3 min and 30 s respectively. Urinary excretion, no rejection and complications were observed at 5 min and 2 min after the blood vessel was opened. The donor was discharged at 6 days and 7 days after operation, with no complications. Conclusions Hand assisted laparoscopy and open surgery for the removal of the kidneys are technically safe and have no effect on the renal function. Hand-assisted laparoscopy is relatively less invasive and faster for donors; shorter ischaemia of the kidneys during open surgery