Living donor nephrectomy: The French guidelines from CTAFU

被引：0

作者：

Branchereau, J. ^{[1
,2
]}

Prudhomme, T. ^{[1
,3
]}

Bessede, T. ^{[1
,4
]}

Verhoest, G. ^{[1
,5
]}

Boissier, R. ^{[6
]}

Culty, T. ^{[1
,7
]}

Matillon, X. ^{[1
,8
]}

Defortescu, G. ^{[1
,9
]}

Sallusto, F. ^{[1
,3
]}

Terrier, N. ^{[1
,10
]}

Drouin, S. ^{[1
,11
]}

Karam, G. ^{[1
,2
]}

Badet, L. ^{[1
,8
]}

Timsit, M-O ^{[1
,12
,13
]}

机构：

[1] Com Transplantat & Insuffisance Renale Chron Asso, Maison Urol, 11 Rue Viete, F-75017 Paris, France

[2] CHU Nantes, Serv Urol & Transplantat, 5 Allee Ille Gloriette, F-44093 Nantes 01, France

[3] CHU Toulouse, Serv Urol & Transplantat, Ave Pr Jean Poulhes, F-31059 Toulouse, France

[4] Univ Paris Saclay, Serv Urol & Transplantat, Hop Bicetre, 78 Rue Gen Leclerc, F-94270 Le Kremlin Bicetre, France

[5] CHU Rennes, Hop Pontchaillou, Serv Urol & Transplantat Renale, 2 Rue Henri Le Guilloux, F-35000 Rennes, France

[6] Univ Aix Marseille, Serv Urol & Transplantat, Hop Concept, 47 Blvd Bailie, F-13005 Marseille, France

[7] CHU Angers, Serv Urol & Transplantat Renale, 4 Rue Larrey, F-49100 Angers, France

[8] Hop Edouard Herriot, Serv Urol & Transplantat, 5 Pl Arsonval, F-69003 Lyon, France

[9] CHU Rouen, Serv Urol & Transplantat, 37 Blvd Gambetta, F-76000 Rouen, France

[10] CHU Grenoble Alpes, Serv Urol & Transplantat, Blvd Chantourne, F-38700 La Tronche, France

[11] Univ Paris Sorbonne, Serv Urol & Transplantat, Hop Pitie Salpetriere, 47 Blvd Hop, F-75013 Paris, France

[12] Univ Paris, Equipe Labellisee Ligue Canc, INSERM, PARCC, 56 Rue Leblanc, F-75015 Paris, France

[13] Hop Necker Enfants Malad, Hop Europeen Georges Pompidou, AP HP, Serv Urol & Transplantat Renale, 20 Rue Leblanc, F-75015 Paris, France

来源：

PROGRES EN UROLOGIE | 2021年 / 31卷 / 01期

关键词：

Living donor nephrectomy; Renal transplantation; Minimally invasive surgery; STAGE RENAL-DISEASE; KIDNEY DONORS; AGE; DONATION; OBESITY; VOLUME; COMPLICATIONS; OUTCOMES; IMPACT; RISK;

D O I：

10.1016/j.purol.2020.03.012

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. - To propose surgical recommendations for living donor nephrectomy. Method. - Following a systematic approach, a review of the literature (Medline) was conducted side the kidney should be harvested from. Distinct surgical techniques and approaches were evaluated. References were considered with a predefined process to propose recommendations with the corresponding levels of evidence. Results. - The recommendations clarify the legal and regulatory framework for kidney donation in France. A rigorous assessment of the donor is one of the essential prerequisites for donor safety. The impact of nephrectomy on kidney function needs to be anticipated. In case of modal vascularization of both kidneys without a relative difference in function or urologic abnormality, removal of the left kidney is the preferred choice to favor a longer vein. Mini-invasive approaches for nephrectomy provide faster donor recovery, less donor pain and shorter hospital stay than open surgery. Conclusion. - These French recommendations must contribute to improving surgical management of candidates for kidney donation. (C) 2020 Elsevier Masson SAS. All rights reserved.

引用

页码：50 / 56

页数：7

共 76 条

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