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생체공여자 신-췌장 동시이식 시 수부보조 복강경 공여자 수술에 관한 단일기관연구Hand-assisted Laparoscopic Donor Surgery for Living Donor Pancreas and Kidney Transplantation: A Single Center Experience

Other Titles
Hand-assisted Laparoscopic Donor Surgery for Living Donor Pancreas and Kidney Transplantation: A Single Center Experience
Authors
김정섭정철웅전흥만박관태
Issue Date
2016
Publisher
대한이식학회
Keywords
수부보조 복강경 수술; 신-췌장 동시이식; 생체 공여자; Hand-assisted laparoscopy; Simultaneous pancreas-kidney transplantation; Living donors
Citation
Korean Journal of Transplantation, v.30, no.4, pp.178 - 183
Indexed
KCI
OTHER
Journal Title
Korean Journal of Transplantation
Volume
30
Number
4
Start Page
178
End Page
183
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/90715
ISSN
1598-1711
Abstract
Background: In this era of donor shortage, use of organs from living donors has increased significantly. Nonetheless, less than 1% of pancreas transplantations involve living donors, despite the immunological benefits, reduced cold ischemic time, and decreased waiting time. One reason for the paucity of donors is the high morbidity after open surgery. Using hand-assisted laparoscopic donor surgery (HALDS) can be a favorable technique for living donors. Methods: Using HALDS, we performed three Simultaneous pancreas-kidney transplantations (SPKs) involving living donors. Two donors were women; one was a man. Results: Their mean age was 34.3±4.7 years, and their body mass index was 23.2±2.36 kg/m2. The mean operation time was 241±19.0 minutes and the mean cold-ischemic time of the kidney was 42.7±9.8 minutes, while that of the pancreas was 64.3±5.2 minutes. One donor developed a pancreatic fistula, which was controlled using conservative management. The donors’ pancreatic and renal functions were well preserved postoperatively. Conclusions: HALDS for SPKs can be performed without significant complications if the surgeon has sufficient skill.
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