KẾT QUẢ BƯỚC ĐẦU PHẪU THUẬT NỘI SOI QUA Ổ BỤNG CẮT THẬN CHO GHÉP TỪ NGƯỜI HIẾN SỐNG TẠI BỆNH VIỆN QUÂN Y 175

Abstract

Objectives: To evaluate the initial outcomes of transperitoneal laparoscopic nephrectomy at Military Hospital 175. Methods: A prospective, descriptive studywas conducted on 60 cases of living donor nephrectomy using the transperitoneal laparoscopic approach from June 2023 to June 2025. The variables were assessed, including clinical and paraclinical characteristics, operative time, estimated blood loss, intraoperative and postoperative complications, and postoperative donor renal function. Results: 100% of laparoscopic nephrectomies were successfully performed. The mean donor age was 35.4 years, with an average BMI of 23.08 kg/m². Left kidneys were harvested in 47 cases and right kidneys in 13 cases; 43 donors had a single renal artery, while 17 had two. The mean operative time was 168.72 minutes, and the average warm ischemia time was 4.67 minutes; blood loss was minimal. The harvested kidneys had intact anatomy, and all grafts produced immediate urine output in the operating room. One case experienced postoperative bleeding at the trocar site, requiring intervention. Conclusion:Transperitoneal laparoscopic donor nephrectomy is a safe and effective technique for living kidney donation.