目的:终末期肾病(ESRD)发病率在全球范围内呈上升趋势,包括在印度。然而,透析治疗的可负担性仍然是许多人面临的重大挑战,不同地区的成本不同。虽然具有成本效益,肾移植面临外科医生短缺等挑战,缺乏基础设施,缺乏后勤支持。该研究检查了印度腹腔镜肾切除术的结果及其对供体恢复的益处。它涵盖了肾脏捐赠者的手术细节,人口统计,术前健康评估,并发症,和一个月的随访。
方法:获得了伦理批准,这项研究涉及英迪拉·甘地医学科学研究所的102例病例,巴特那,比哈尔邦,印度,从2019年到2023年。详细的术前评估,术后并发症,并进行了1个月的随访分析.统计分析采用SPSS版本17(IBMCorp.,Armonk,NY).
结果:结果显示平均手术时间为152.3分钟,失血量为205±42毫升,住院时间为4.6±2.2天。研究发现女性占主导地位(80.39%),平均供体年龄为35.9±5.2岁。术前评估显示患者健康状况良好,肾小球滤过率(GFR)超过预期阈值和正常尿素水平,肌酐,电解质,肝酶,胆红素,白蛋白,和总蛋白质。报告了肾切除术后并发症,女性比男性经历更多的困难。
结论:本研究强调了腹腔镜肾切除术在印度的有效性和安全性,提供对捐赠者人口统计数据的有价值的见解,术前健康评估,并发症,和术后结果。这些发现有助于了解腹腔镜肾切除术的结果和相关的危险因素,尽管有一定的局限性。
OBJECTIVE: End-stage renal disease (ESRD) rates are on the rise globally, including in India. However, the affordability of dialysis treatment remains a significant challenge for many, with costs varying across different regions. Although cost-effective, kidney transplantation faces challenges like a surgeon shortage, lack of infrastructure, and lack of logistic support. The study examines Indian laparoscopic nephrectomy outcomes and their benefits for donor recovery. It covers kidney donor procedural details, demographics, preoperative health evaluations, complications, and one-month follow-up.
METHODS: Ethical approval was obtained, and the study involved 102 cases at the Indira Gandhi Institute of Medical Science, Patna, Bihar, India, from 2019 to 2023. Detailed preoperative assessments, postoperative complications, and one-month follow-up analyses were conducted. Statistical analysis employed SPSS version 17 (IBM Corp., Armonk, NY).
RESULTS: The results revealed an average surgery time of 152.3 min, blood loss of 205 ± 42 ml, and a hospital stay of 4.6 ± 2.2 days. The study found a female predominance (80.39%), with a mean donor age of 35.9 ± 5.2 years. Preoperative assessments showed robust patient health, with glomerular filtration rate (GFR) exceeding the expected threshold and normal urea levels, creatinine, electrolytes, liver enzymes, bilirubin, albumin, and total protein. Post-nephrectomy complications were reported, with females experiencing more difficulties than males.
CONCLUSIONS: This study underscores the efficiency and safety of laparoscopic nephrectomy in the Indian context, providing valuable insights into donor demographics, preoperative health assessments, complications, and postoperative outcomes. The findings contribute to understanding laparoscopic nephrectomy outcomes and associated risk factors despite certain limitations.