Schnitzbauer, Andreas A. and Loss, M. and Hornung, M. and Farkas, S. and Kraemer, B. and Wieland, W. and Schlitt, H. J. and Obed, A. (2006) Pararectal mini-incision for strictly retroperitroneal nephrectomy in living kidney donation. UROLOGE, 45 (9). pp. 1170-1175. ISSN 1433-0563,
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Purpose. In this study we present the technique of a strictly retroperitoneal donor nephrectomy via a pararectal mini-incision. Material and methods. Data of 34 living kidney donations were analyzed. All donors underwent a pararectal mini-incision and strictly retroperitoneal nephrectomy (MIDN). Results. Total operation time, perioperative use of pain medication, length of hospital stay after successful mobilization, and return to full enteral nutrition and regular digestion were evaluated retrospectively. Total operation time for MIDN was 132 +/- 26 min. The total average application was 22.2 +/- 19.4 mg of opioid in morphine equivalent dosage (MED), 7.7 +/- 6.1 g metamizol, and 512 +/- 325 mg NSAR during hospital stay, which was 4.9 +/- 1.4 days. Patients were molblized primarily 2.9 +/- 8.0 h after surgery. Mobility was achieved 33.8 +/- 15.8 h after surgery. Enteral nutrition with fluids was started after 1.9 +/- 7.0 h, full enteral nutrition was accomplished after 37.4 +/- 19.0 h, and normal digestion returned 58.6 +/- 23.0 h after the procedure. Conclusions. The strictly retroperitoneal nephrectomy via a mini-incision is an elegant, minimally traumatic, safe, and quickly learnable method, resulting in short hospital stays, good cosmetic results, and a low grade of complications.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LAPAROSCOPIC DONOR NEPHRECTOMY; RENAL-TRANSPLANTATION; EXPERIENCE; OUTCOMES; SURGERY; COST; pararectal mini-incision; living donation; retroperitoneal nephrectomy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Innere Medizin II Medicine > Lehrstuhl für Urologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 03 Feb 2021 10:14 |
| Last Modified: | 03 Feb 2021 10:14 |
| URI: | https://pred.uni-regensburg.de/id/eprint/34151 |
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