后腹腔镜下活体供肾切取术在亲属肾移植中的应用（附22例报告）

目的探讨后腹腔镜下活体供肾切取术在亲属。肾移植中的临床应用。方法对22例后腹腔镜下活体供肾切取术的供受体均随访3～12个月，对临床资料进行分析总结。结果腹腔镜下活体供肾切取术均较顺利，手术时间（气腹时间）为（65±16）min，术中出血约（110±40）ml，供肾热缺血时间（107±34）sec。肾移植术中血管开放后供肾均泌尿，未出现排斥反应及与操作技术相关的并发症。供者术后7d伤口拆线后出院。22例受者中有1例出现肾功能恢复延迟，术后2周恢复正常，其余21例术后7天血清肌酐恢复正常。1例术后2个月出现急性排斥反应，经甲强龙冲击治疗3天后治愈。结论后腹腔镜活体供肾切取术具有安全、可靠、创伤小、恢复快、不影响。肾功能等优势，能促进亲属肾移植的开展，增加供肾来源。

Retroperitoneoscopic live donor nephrectomy in related renal transplantation (Report of 22 cases)

Objective To investigate the application of retroperitoneoscopic hve donor nephrectomy （RPLDN） in related tranplatation. Methods The clinical datum of 22 patients and donors who underwent RPLDN with 3-12 months follow up were reviewed, Results The RPLDN of 22 were successful.The operative time was 119±16 min,blood loss was 110±40 ml, the warm ischemic time was 107±34 sec. The allografts were implanted into the recipients and produced urine on the table immediately upon revascularization. There is no rejection and comphcations related to the techniques. The mean hospital stay of the donors was 7 days. Among the 22 recipients, only 1 experienced delayed graft function, and recovered 2 weeks postoperatively; in the other 21 recipients, SCr level was normalized within 7 days postoperatively, among them 1 case had acute rejection and recovered by ictus therapy of hormone. Conclusion RPLDN has the advantages of safety, reliabihty,minimal invasion, rapid recovery and no effects on allograft function,and greater patients acceptance.