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논문 기본 정보

자료유형
학술저널
저자정보
김정섭 (고려대학교) 정철웅 (고려대학교) 전흥만 (고려대학교) 박관태 (National Medical University of Mongolia)
저널정보
대한이식학회 Clinical Transplantation and Research Korean Journal of Transplantation Vol.30 No.4
발행연도
2016.1
수록면
178 - 183 (6page)

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Background: In this era of donor shortage, use of organs from living donors has increased significantly. Nonetheless, less than 1% of pancreas transplantations involve living donors, despite the immunological benefits, reduced cold ischemic time, and decreased waiting time. One reason for the paucity of donors is the high morbidity after open surgery. Using hand-assisted laparoscopic donor surgery (HALDS) can be a favorable technique for living donors. Methods: Using HALDS, we performed three Simultaneous pancreas-kidney transplantations (SPKs) involving living donors. Two donors were women; one was a man. Results: Their mean age was 34.3±4.7 years, and their body mass index was 23.2±2.36 kg/m2. The mean operation time was 241±19.0 minutes and the mean cold-ischemic time of the kidney was 42.7±9.8 minutes, while that of the pancreas was 64.3±5.2 minutes. One donor developed a pancreatic fistula, which was controlled using conservative management. The donors’ pancreatic and renal functions were well preserved postoperatively. Conclusions: HALDS for SPKs can be performed without significant complications if the surgeon has sufficient skill.

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