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穿越腹膜切除术与逆腹膜切除术相比:对生命质量和并发症的影响
Mohammed Aldawsari1, Ahmed Yamani1, Nassar M Alqurashi1
1Urology, Alhada Armed Forces Hospital, Al Hada, SAU.
Cureus
|September 25, 2025
概括
手动辅助腹腔镜供体切除术 (HALDN) 提供了可比的结果,跨腹膜 (TP) 和逆腹膜 (RP) 的方法. 虽然RP改善了早期功能,但它可能会导致更长时间的疼痛,需要个性化手术选择.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 手术创新 在外科创新.
- 移植手术 移植手术
背景情况:
- 在活体脏捐赠中, laparoscopic donor nephrectomy (LDN) 优于开放式手术,因为并发症较少,恢复更快.
- 跨腹膜 (TP) 和背腹膜 (RP) 手动辅助方法是常见的LDN技术.
- 比较TP和RP手工辅助LDN对于优化捐赠者结果至关重要.
研究的目的:
- 为了比较跨腹膜 (TP) 和背腹膜 (RP) 的手术辅助活供体切除术 (HALDN) 技术.
- 为了评估术后并发症,术后疼痛,恢复日常活动,功能和身体形象满意度.
- 根据临床结果确定最佳的HALDN方法.
主要方法:
- 在阿尔哈达武装部队医院接受HALDN (11 TP,19 RP) 的30名捐赠者的回顾性研究.
- 对并发症,血清肌水平,疼痛,身体形象和生活质量 (QoL) 的分析.
- 使用IBM SPSS统计数据进行统计分析,Windows,版本 26.
主要成果:
- 在TP和RP组之间,外科手术期间的肌水平与TP和RP组相似.
- 与TP组 (p = 0.024) 相比,RP组显示了与TP组相比,血清肌素的术后降低显著更大 (p < 0.001).
- RP捐赠者报告了更持久的术后腹痛 (p = 0.010),并发症,QOL或身体形象满意度没有显著差异.
结论:
- 无论是TP还是RP的HALDN技术,在功能,患者满意度和QOL方面都产生了可比的结果.
- RP方法可以改善早期的功能,但可能导致术后疼痛增加.
- 建议选择个性化的外科手术方法,考虑患者特异性和解剖学因素.
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