Seguridad y calidad de vida de los donadores renales. Comparación entre dos técnicas.

IF 0.5 4区医学 Q4 SURGERY Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.21000699

Estephanía Navarro-Del Río, Alejandro Lugo-Baruqui, Rodrigo Prieto-Aldape, Concepción Oseguera-Vizcaíno, Marco A Covarrubias-Velasco

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Abstract

Background: Currently there are no studies that determine the safety and quality of life of kidney donors in Mexico.

Objective: To determine the safety of being a kidney donor and the quality of life, comparing the open approach with hand-assisted laparoscopic technique.

Method: Observational, cross-sectional, analytical study of the kidney donors in our hospital from January 2015 to December 2018, in two groups: open technique and hand-assisted laparoscopic. To determine safety, the Clavien-Dindo scale and transoperative bleeding were used, and the SF-36 health-related quality of life questionnaire was applied.

Results: There are no reports of peri-operative complications in any type of approach. All the patients obtained a grade I in the Clavien-Dindo scale. When the difference in the score of the SF-36 health-related quality of life questionnaire in kidney donor patients with hand-assisted laparoscopic surgical approach versus open approach was compared, a difference between both means of 14.05 was obtained, with p < 0.0001 in favor of the hand-assisted approach.

Conclusions: Being a kidney donor is safe and the approach that we recommend is hand-assisted laparoscopic nephrectomy.

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肾供体的安全性和生活质量。两种技术的比较。

背景:目前在墨西哥没有研究确定肾脏供者的安全性和生活质量。目的:比较开放入路和手助腹腔镜技术对供肾者的安全性和生活质量的影响。方法:对我院2015年1月至2018年12月肾供者进行观察、横断面、分析研究，分为开腹和手助腹腔镜两组。为了确定安全性，采用Clavien-Dindo量表和术中出血，并采用SF-36健康相关生活质量问卷。结果:所有入路均无围手术期并发症的报道。所有患者的Clavien-Dindo评分均为I级。比较手辅助腹腔镜手术入路与开放入路肾供患者SF-36健康相关生活质量问卷得分的差异，两种方法的均值差异为14.05,p < 0.0001，手辅助入路优于开放入路。结论:作为肾脏供者是安全的，我们推荐的方法是手辅助腹腔镜肾切除术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.