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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
NAVARRO-DEL RIO, Estephanía et al. Safety and quality of life of living kidney donors. Comparison between two techniques. Cir. cir. [online]. 2023, vol.91, n.1, pp.58-63. Epub May 16, 2023. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000699.
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.
Keywords : Kidney transplant; Kidney donor; Quality of life; Safety; Nephrectomy.