Laparoscopic donor nephrectomy

Détails

ID Serval
serval:BIB_D056E62DD6D0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Laparoscopic donor nephrectomy
Périodique
British Journal of Surgery
Auteur⸱e⸱s
Handschin  A. E., Weber  M., Demartines  N., Clavien  P. A.
ISSN
0007-1323 (Print)
Statut éditorial
Publié
Date de publication
11/2003
Volume
90
Numéro
11
Pages
1323-32
Notes
Journal Article
Review --- Old month value: Nov
Résumé
BACKGROUND: Living kidney donation represents an important source of organs for patients with end-stage renal failure. Over the past decade, laparoscopic donor nephrectomy has replaced the conventional open procedure in many transplant centres. Using evidence-based methods, this study examines the current status of laparoscopic donor nephrectomy. METHOD: A Medline literature search (PubMed database, 1999-2002) and manual cross-referencing were performed to identify all articles relating to laparoscopic donor nephrectomy. Safety and efficacy criteria were analysed systematically for each study. Studies included were categorized using an evidence-based level grading system. RESULTS: Of 687 publications, 20 studies with level I-II evidence and 12 with level III evidence were analysed. Only one level I study could be identified. Level I and level II evidence suggests superiority of the laparoscopic approach in regard to postoperative analgesic consumption, hospital stay and return to work. Other safety and efficacy criteria, including donor and recipient outcomes, were similar between the two techniques. CONCLUSION: Laparoscopic donor nephrectomy has gained community acceptance by physicians and patients over the past decade. Despite a lack of strong evidence, such as large prospective randomized studies, laparoscopic donor nephrectomy is likely to become the 'gold standard' for donor nephrectomy in the near future.
Mots-clé
Analgesics/therapeutic use Blood Loss, Surgical Cost-Benefit Analysis Humans Kidney Failure, Chronic/economics/*surgery Kidney Transplantation/adverse effects/economics/*methods Laparoscopy/adverse effects/economics/*methods Length of Stay *Living Donors Nephrectomy/adverse effects/economics/*methods Randomized Controlled Trials Tissue and Organ Procurement/economics/methods Treatment Outcome
Pubmed
Web of science
Création de la notice
28/01/2008 8:53
Dernière modification de la notice
20/08/2019 15:50
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