Comparison of the iliac, vaginal and umbilical graft extraction in robot-assisted laparoscopic living donor nephrectomy.
Adult
Female
Humans
Ilium
Kidney
/ physiology
Kidney Transplantation
Laparoscopy
/ adverse effects
Male
Middle Aged
Nephrectomy
/ adverse effects
Pain, Postoperative
/ etiology
Postoperative Complications
/ etiology
Recovery of Function
Retrospective Studies
Robotic Surgical Procedures
/ adverse effects
Tissue and Organ Harvesting
/ methods
Umbilicus
Vagina
Kidney extraction pathway
Kidney transplantation
Robot- assisted living donor nephrectomy
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
30
06
2020
accepted:
16
09
2020
pubmed:
6
10
2020
medline:
12
1
2022
entrez:
5
10
2020
Statut:
ppublish
Résumé
To compare different extractions routes for robot-assisted living donor nephrectomy in terms of post-operative pain and renal function recovery. Live donor kidney transplantation data from our institution were reviewed from November 2011 to March 2017. Postoperative pain was estimated using cumulative painkillers consumption. Variables were compared between the 3 groups with ANOVA for continuous data, χ Sixty-three RLDN were performed (23 iliac, 23 vaginal and 17 umbilical extractions). There was no significant difference between the three groups in terms of operative time, blood lost, warm ischemia time, cumulative painkiller consumption and renal function recovery time. Postoperative complications for Umbilical, Vaginal and Iliac were, respectively, of 0, 3 and 1. No major difference was found between the 3 groups beside a slightly longer hospital stay in the iliac group. Iliac incision might impact post-operative pain with a moderate but significant longer hospital stay. Vaginal extraction is an option when cosmetic outcomes present a real demand. The three options appeared to be safe and should be discussed with the patient in regard of the surgeon experience.
Identifiants
pubmed: 33015741
doi: 10.1007/s00345-020-03462-y
pii: 10.1007/s00345-020-03462-y
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2783-2788Informations de copyright
© 2020. Springer-Verlag GmbH Germany, part of Springer Nature.
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