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laparoscopic 捐赠者的脏切除术后的丸疼痛:一个不太报道的并发症
Sae Woong Choi1, Hyong Woo Moon2, Kang Sup Kim3
1Department of Urology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Journal of endourology
|August 30, 2024
概括
丸疼痛 (TP) 是腹腔镜供体腎切除术 (LDN) 后的一种常见并发症. 超过一半的男性捐赠者经历了TP,通常是轻微的,在三个月内得到解决,强调了需要进行手术前咨询的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 手术并发症 手术并发症
背景情况:
- 丸疼痛 (TP) 是 laparoscopic 捐赠脏切除术 (LDN) 后报告不足的并发症.
- 了解TP的发病率和特征对于捐赠者护理至关重要.
研究的目的:
- 调查左侧LDN后的ipsilateralTP的发生率,特征和相关因素.
- 为了确定潜在的风险因素,包括淋巴腺静脉绑定水平和阴囊病理.
主要方法:
- 从接受左侧LDN.的男性患者收集基线和手术细节的前性数据收集.
- 部超声波检查在术后一个月进行.
- 基于性腺静脉绑定水平和TP存在的捐赠者的分类,并进行比较分析.
主要成果:
- 在61名男性捐赠者中,54.1%的男性捐赠者经历了LDN后的ipsilateral TP.
- 在较高的阴道静脉绑定 (2级) 时,TP的频率更高,但在统计学上不显著.
- 大多数TP是轻微的,发生在一周内,并在3个月内消失;没有发现与静脉或水的显著关联.
结论:
- 丸疼痛是腹腔镜供体脏切除术后经常出现的并发症.
- 目前的结节水平和阴囊病理与TP发生没有显著的相关性.
- 关于潜在的丸疼痛的手术前咨询对于LDN捐赠者来说至关重要.
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