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Current practice of live donor nephrectomy in Turkey

World Journal of Transplantation 2022年第12期12卷 405-414页

作者： Bakytbek Mankiev Sanem Guler Cimen Ismail Oskay Kaya Sertac Cimen Asir Eraslan Department of General Surgery Sağlık BilimleriÜniversitesiAnkara 65100Turkey Departments of Surgery University of Health SciencesDiskapi Yildirim Beyazit Training and Research HospitalAnkara 65100Turkey Department of Urology Saglık Bilimleri UniversitesiAnkara 65100Turkey Department of Urology Somalia Turkish Training and Research HospitalMogadishu 23451Somalia

BACKGROUND Over the last few years,the deceased donor organ donation rate was declined or remained stable,whereas the live donor organ donation rate has increased to compensate for the *** invasive techniques for live donor nephrectomy(LDN)have also improved the live donor kidney donation *** increase has led to an interest in the surgical procedures used for *** To evaluate the LDN techniques performed in Turkey,the structure of surgical teams,and the training ***,the number of kidney transplantations at different centers,the surgeon experience level,differences in surgical approach during donor surgeries,and outcomes were *** A questionnaire was sent to the Turkish Ministry of Health-accredited transplant *** inquired of the number of LDN surgeries,surgical techniques,complications,optimization protocols,the experience of surgeons,and the *** statistics were outlined as follows:Discrete numeric variables were expressed as medians(minimum-maximum),while categorical variables were shown as numbers and *** a result of the goodness-of-fit tests,if the significance of the differences between the groups in discrete numerical variables for which the parametric test statistical assumptions were not met,data were analyzed with the Mann Whitney U test and theχ^(2)*** The questionnaire was sent to 72 transplant centers,all of which *** centers that reported not performing LDN procedures were *** from the remaining 67 centers were *** 2019,the median number of kidney transplants performed was 45,and the median number of kidney transplants from living donors was 28(1-238).Eleven(16.5%)centers performed 5-10,while 34(50.7%)centers performed more than 100 live donor kidney transplants in *** 19(28.4%)centers performed the LDN procedures using the open technique,48(71.6%)centers implemented minimally invasive *** the centers prefer

关键词： Kidney donation Live donor nephrectomy Laparoscopic donor nephrectomy Donor complications Minimally invasive techniques donation rate

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