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Abstract
Objective: The aim of this study was to evaluate the effectiveness of upper urinary tract stone treatment with digital single - use flexible ureteroscopy.
Methods: A case series was performed patients with upper urinary tract stone and treated with digital single - use flexible ureteroscopy and holmium laser lithotripsy at Urology Department of Cho Ray hospital from October 2020 to Febuary 2022.
Results: From April 2017 to December 2020, 180 transperitoneal laparoscopic living donor nephrectomy were perfomed on living donors. There were 96 females (53,3%) and 84 males (46,7%). The mean age was 50.23 ± 10 years old, the youngest is 24, the oldest is 73. The average BMI is: 22.78 ± 2.34 kg/m2 (15.57 - 29.97 kg/m2 ). In the study, 28 cases (15.6%) of donors had a history of abdominal surgery, of which 10 patients had a history of Casarean, 10 cases had a history of laparoscopic appendectomy, and 8 cases had a history of obstetric surgery. The left kidney had 157 cases (87.2%), the right kidney had 23 cases (12.8%). 42 kidneys (23,3%) had 2 arteries and 7 kidneys (3,9%) had 3 arteries. There were 3 early branching renal arteries (1.7%). The average surgery time were 127.64 ± 39.36 minutes (110-330 minutes). The average blood loss was 75.28 ml. The mean duration of warm ischemia time was 5.26 ± 1.42 minutes. There were 3 complications including: 2 cases of intraoperative bleeding due to blood vessel injury and 1 case of ureteral injury. There were 12 post-operative complications including 2 cases of surgical site infection, 8 cases of lymphatic leakage and 2 cases of intestinal obstruction. After 1 month, creatinine levels were 1.16 ± 0.22 mg/dl for the donor and 1.36 ± 0.35 mg/ dl for the recipient. The mean hospital stay were 4.6 ± 1.6 days
Conclusions: The results suggest that transperitoneal laparoscopic living donor nephrectomy were safe, feasible along with retroperitoneal laparoscopic nephrectomy especially in cases of high BMI and multiple renal arteries
References
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| Published | 05-01-2025 | |
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| Issue | No. 81 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.81.16 | |
| Keywords | ghép thận, phẫu thuật nội soi, người hiến sống. Kidney transplantation, laparoscopy surgery, living donor |
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