| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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タイトル |
Impact of Retroperitoneoscopic Living Donor Nephrectomy at a Single Center |
| 言語 |
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言語 |
eng |
| キーワード |
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主題Scheme |
Other |
|
主題 |
laparoscopic living donor nephrectomy（LDN） |
| キーワード |
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主題Scheme |
Other |
|
主題 |
living donor kidney transplantation |
| キーワード |
|
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主題Scheme |
Other |
|
主題 |
retroperitoneoscopic living donor nephrectomy（RPLDN） |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Tokumoto, Tadahiko
Setoguchi, Kiyoshi
Hyodo, Yoji
Osaka, Akiyoshi
Iwahata, Toshiyuki
Inoue, Yasuyuki
Okada, Hiroshi
Saito, Kazutaka
|
| 著者所属 |
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Department of Urology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 353-8555, Japan |
| 著者所属 |
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Department of Urology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 353-8555, Japan |
| 著者所属 |
|
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Department of Urology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 353-8555, Japan |
| 著者所属 |
|
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Department of Urology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 353-8555, Japan |
| 著者所属 |
|
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Department of Urology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 353-8555, Japan |
| 著者所属 |
|
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Department of Urology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 353-8555, Japan |
| 著者所属 |
|
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Department of Urology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 353-8555, Japan |
| 書誌情報 |
Dokkyo Journal of Medical Sciences
巻 48,
号 2,
p. 57-64,
発行日 2021-07-25
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| 要旨 |
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内容記述タイプ |
Other |
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内容記述 |
Laparoscopic living donor nephrectomy（LDN）has become a standard procedure, and transperitoneal LDN is now performed at many centers. Since 2001, we have been developing a retroperitoneoscopic living donor nephrectomy（RPLDN）technique that allows LDN to be performed by a direct retroperitoneal approach that does not interfere with the abdominal organs. In this study, we examined the operating time, blood loss, total and warm ischemic times（TIT, WIT）, length of stay, number and length of renal arteries and vessels, graft function, and complications in 54 kidney donors（19 men, 35 women；mean age 57.1±11.8 years）who underwent living donor kidney transplantation with allografts obtained by RPLDN. Mean follow-up was 16.8 months. Donor nephrectomy was successful in all patients. Fifteen kidneys had ≥ 2 renal arteries. The complication rate was 5.6％. There were no serious complications. Ureteral complications occurred in four recipients, who were successfully treated by retrograde ureteral stent placement. Mean TIT was 87.7 min and mean WIT was 4.7 min. Mean serum creatinine levels in recipients were 3.5, l.5, and 1.4 mg/dL on postoperative days 1, 7, and 14, respectively. Slow graft function was noted in four cases（7.4％）, which normalized within 2 weeks of surgery. One-year donor survival was 100％ and 1-year graft survival was 98.1％. All RPLDNs were well tolerated and the impact on recipient graft function was excellent. RPLDN could be an option for LDN. |
| 記事種別 |
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Original |
| 出版者 |
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出版者 |
獨協医学会 |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03855023 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA00629581 |
DJMS-48-2-Tokumoto-本文 (89.8 kB)
