Comparison of Minimal Skin Incision Technique in Living Kidney Transplantation and Conventional Kidney Transplantation

作     者：Sang-Dong Kim Ji-II Kim In-Sung Moon Sun-Cheol Park Kim Sang-Dong;Kim Ji-Il;Moon In-Sung;Park Sun-Cheol

作者机构：Department of Surgery Division of Vascular and Transplant Surgery College of Medicine The Catholic University of Korea Seoul 137-040 Korea 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2016年第129卷第8期

页      面：917-921页

核心收录：

学科分类：090603[农学-临床兽医学] 0710[理学-生物学] 1002[医学-临床医学] 07[理学] 09[农学] 0906[农学-兽医学] 071002[理学-动物学] 

主　　题：Kidney Transplantation Minimal Skin Incision: Conventional Kidney Transplantation 

摘      要：Background：Recently,the most common incision for kidney transplantation （KT） is an inverted J-shaped incision known as the ＆quot;hockey-stick.＆quot; However,demands for minimally invasive surgery in KT are increasing as in other various fields of ***,we evaluated whether there is difference between minimal skin incision technique in kidney transplantation （MIKT） and conventional KT （CKT）.Methods：Between June 2006 and March 2013,a total of 452 living kidney transplant patients were *** MIKT group included 17 young unmarried women whose body mass index was 〈25 kg/m^2 and had no anatomic *** CKT group included 435 *** MIKT operation technique restricted to the 10 cm-sized skin incision in the lower right abdomen from laterally below the anterior superior iliac spine to the midline just above the pubis was *** compared the baseline clinical characteristics and postoperative results between two *** proper comparison,propensity score matching was ***：There was no difference in graft function,survival,and postoperative complication rate between MIKT and CKT groups （all P 〉 0.05）.The 5-year graft survival was 92.3% and 85.7% in MIKT and CKT groups,respectively （P =0.786）.Conclusions：Our results indicated that MIKT showed more favorable cosmetic results,and there were no statistical differences in various postoperative factors including graft function,survival,and complications compared with ***,we suggested that MIKT is an appropriate method for selected patients in living KT.