Premium
Utility of inguinal incision in retroperitoneoscopic live donor nephrectomy
Author(s) -
Yu Shengqiang,
Men Changping,
Liu Lingling,
Li Guanglei,
Liu Dongfu,
Gao Zhenli,
Wang Ke
Publication year - 2014
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.12561
Subject(s) - medicine , nephrectomy , surgery , urology , kidney
Background Retroperitoneoscopic live donor nephrectomy has been performed in many countries. The purpose of this study was to evaluate the inguinal incision as a route for hand‐assisted manipulation and allograft retrieval. Methods From A pril 2011 to J une 2012, a prospective clinical study of 21 cases of retroperitoneal live donor nephrectomy was performed at our hospital. All donors were grouped in a test group ( n = 11, inguinal incision) or a control group ( n = 10, lumbar incision). The operative time, warm ischaemia time, blood loss, hospital stay, cosmetic satisfaction, incision complications, and recipient's serum creatinines were compared between groups. Results All 21 cases of retroperitoneal live donor nephrectomy were accomplished successfully without serious complications. There was no difference in blood loss and operative time between groups. The mean warm ischaemic time and hospital stay was shorter ( P < 0.01), and satisfaction with cosmesis was greater ( P < 0.05) in the test group. The abdominal asymmetry (4/10) and wound dehiscence occurred only in the control group. The recipient's serum creatinine was lower in the test group at 1 day ( P < 0.01) and 3 days ( P < 0.05) after transplantation. Conclusion The inguinal incision offers an ideal route for hand‐assisted manipulation and allograft retrieval during retroperitoneoscopic live donor nephrectomy, and has a potential to be generally applied in the future.