无肝素肋弓下腹膜后腔活体供肾切取术体会

目的 探讨肋弓下腹膜后腔无肝素开放切取活体供肾的可行性.方法 回顾分析本院2003年5月～2008年5月期间行肋弓下腹膜后腔134例无肝素切取供肾(无肝素组)及82例肝素抗凝切取供肾(肝素抗凝组)效果.结果 2组均成功切取活体肾,手术时间110～200 min,热缺血时间10～20 8,2组移植肾后各有一例出现肾功能延迟恢复(DGF).2组供肾质量比较差异无统计学意义(P>0.05),但无肝素组出血少.结论 肋弓下腹膜后腔无肝素开放切取活体供肾方法安全可靠,供肾质量好.出血少.

No-heparizated open operation at low costal arch in live donor nephrectomy via retroperitoneal approach

Objective To evaluate the possibility of no-beparin open operation at low costal arch in live donor nephrectomy via retroperitoneal approach. Methods The effects of 134 cases no-beparin operation and 82 eases heparinized operation at low costal arch in live donor nephrectomy via retroperitoneal approach during 2003.5 to 2008.5 in our hospital were retrospective analyzed. Results The kidneys of the donors in two groups were successfully harvested. The operation time varied from 110 rain to 200 rnin, and warm isebemia time varied from lOs to 20s. Delayed graft function (DGF) was oceurred in one ease in each group. There was no signifieant difference in live donor nephreetomy between the two groups(P >0. 05), but the no-beparin group had less bleeding. Conclusion The no-beparin open operation at low eostal arch in live donor nephrectomy via retroperitoneal approach is technieal]y feasible and safe, and has less bleeding, and little influence on the allograft.