Đánh giá kết quả bước đầu phương pháp cắt thận nội soi qua ổ bụng có hỗ trợ Bằng bàn tay để ghép từ người cho sống tại bệnh viện Đa khoa Quốc tế Vinmec Times City=Evaluation of initial outcome of hand-assisted laparoscopic live donor nephrectomy at Vinmec Times City international general hospital in Hanoi

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Lê Huyền Trang Đoàn, Hùng Cường Nguyễn, Ngọc Khánh Nguyễn, Thị Yến Nguyễn, Xuân Thành Nguyễn, Ngọc Thắng Vũ, Trí Nhân Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.117-123

Bộ sưu tập: Metadata

ID: 242252

Thêm vào giỏ

Đánh giá khả năng thực hiện, độ an toàn và kết quả của phương pháp cắt thận nội soi qua ổ bụng có hỗ trợ bằng bàn tay để ghép từ người cho sống tại bệnh viện đa khoa quốc tế Vinmec Times City. Đối tượng và phương pháp: Nghiên cứu mô tả hồi cứu, với các bệnh nhân hiến thận tại bệnh viện quốc tế Vinmec Times City – Hà Nội từ tháng 1/2017 đến tháng 12/2019. Kết quả: Từ tháng 1/2017 đến tháng 12/2019, chúng tôi đã tiến hành lấy thận 55 trường hợp từ người cho sống để ghép theo phương pháp nội soi qua ổ bụng có sự trợ giúp của bàn tay. Bao gồm 38 nam (69,1%), 17 nữ (30,9%). Tuổi trung bình: 36,73 ± 12,5, thấp nhất 19 tuổi , cao nhất 62 tuổi. Thận trái có 32 trường hợp (58,18%), thận phải có 23 trường hợp (41,82%). Thận ghép có 3 động mạch: 1 trường hợp, thận có 2 động mạch: 6 trường hợp. Thời gian phẫu thuật trung bình: 164,38 ± 17,71 phút. Thời gian thiếu máu nóng trung bình: 144,09 ± 51,83 giây. Lượng máu mất trung bình: 28,04 ± 14,39 mL. Sau 1 tháng, người hiến có Creatinine huyết thanh trung bình: 108, 33 ± 23,19 μmol/L. Thời gian nằm viện trung bình: 5,69 ± 1,51 ngày. Không có trường hợp nào phải chuyển mổ mở. Rò bạch huyết có 2 trường hợp và 1 trường hợp viêm tụy cấp. Kết luận: Phương pháp cắt thận nội soi qua ổ bụng có hỗ trợ bằng tay để ghép từ người cho sống là phương pháp an toàn, thẩm mỹ, ít biến chứng, người bệnh phục hồi nhanh sau mổ.Evaluating feasibility, safety, and effectiveness of hand-assisted laparoscopic live donor nephrectomy at Vinmec Times City International genaral hospital Materials and methods: Retrospective study on kidney donors cases at Vinmec Times City hospital from January 2017 to Decembre 2019 Outcome and discussion: From January 2017 to Decembre 2019, 55 hand-assisted living donor nephrectomy were perfomed on living donors. There were 38 males (69.1%), 17 females (accounted for 30.9%). The median age was 34.7 ± 12.68, the youngest age was 19, highest age was 62. The left kidney had 32 cases (58.18%), the right kidney had 23 cases (41.82%). 6 kidneys (10.9%) had 2 arteries and 1 kidney (1.8%) had 3 arteries. Average operating time: 164.38 ± 17.71 minutes. Warm ischemic time: 144.09 ± 51.83 seconds. The average blood loss was: 28.04 ± 14.39 mL. After 1 month, creatinine levels were: 108.33 ± 23.19 μmol/L for the donor. Average length of hospital stay: 5.69 ± 1.51 days . There were 3 coplications: 2 cases of lymphatic leakage and 1 case of 1 case of acute pancreatitis. There is no case of conversion to open surgery. Conclusion: hand-assisted laparoscopic live donor nephrectomy has shown superior results in terms of cosmetics, convalescence, return to normal daily activites and a low rate of surgical complications has been maintained.

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