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2016 ; 129
(8
): 917-21
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Comparison of Minimal Skin Incision Technique in Living Kidney Transplantation
and Conventional Kidney Transplantation
#MMPMID27064035
Kim SD
; Kim JI
; Moon IS
; Park SC
Chin Med J (Engl)
2016[Apr]; 129
(8
): 917-21
PMID27064035
show ga
BACKGROUND: Recently, the most common incision for kidney transplantation (KT) is
an inverted J-shaped incision known as the "hockey-stick." However, demands for
minimally invasive surgery in KT are increasing as in other various fields of
surgery. Hence, we evaluated whether there is difference between minimal skin
incision technique in kidney transplantation (MIKT) and conventional KT (CKT) .
METHODS: Between June 2006 and March 2013, a total of 452 living kidney
transplant patients were enrolled. The MIKT group included 17 young unmarried
women whose body mass index was <25 kg/m2 and had no anatomic variation. The CKT
group included 435 patients. The MIKT operation technique restricted to the 10
cm-sized skin incision in the lower right abdomen from laterally below the
anterior superior iliac spine to the midline just above the pubis was performed.
We compared the baseline clinical characteristics and postoperative results
between two groups. For proper comparison, propensity score matching was
implemented. RESULTS: There was no difference in graft function, survival, and
postoperative complication rate between MIKT and CKT groups (all P > 0.05). The
5-year graft survival was 92.3% and 85.7% in MIKT and CKT groups, respectively (P
= 0.786). CONCLUSIONS: Our results indicated that MIKT showed more favorable
cosmetic results, and there were no statistical differences in various
postoperative factors including graft function, survival, and complications
compared with CKT. Hence, we suggested that MIKT is an appropriate method for
selected patients in living KT.