Recovery of Short-term Renal Function in Post-transplant Patients Living Donor: Comparison Between Graft Procurement Techniques - Open Surgery, Laparoscopic Assisted Hand and Pure Laparoscopic
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 508
- 主要终点
- Rate of medical complications in renal graft recipients through 30 day after the nephrectomy.
研究概览
简要总结
Objectives: To describe and analyze the perioperative and functional evolution of short-term renal graft in patients with kidney transplantation from a live donor, comparing three surgical techniques for obtaining kidney graft: open nephrectomy, laparoscopic hand-assisted nephrectomy, and pure laparoscopic nephrectomy.
详细描述
Analytical cross-sectional study that will compare the three renal graft procurement techniques: open nephrectomy, laparoscopic hand-assisted nephrectomy, and pure laparoscopic nephrectomy. The investigators will analyze serum creatinine values on days 1, 5 and 28 post renal transplantation. The operative, medical and surgical morbidity will also be evaluated, considering the bleeding in the donor, times of ischemia and the need for JJ catheter placement in the recipient.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with terminal chronic kidney disease who will receive a kidney transplant in the transplant service of the National Medical Center of the West of living donor related to the means of obtaining the kidney graft by laparoscopic hand assisted or pure laparoscopic surgery.
排除标准
- •Patients who for some reason can not find your complete medical record.
- •Patients obtained a kidney graft from a brain death donor.
研究组 & 干预措施
Open nephrectomy
These patients will undergo an open nephrectomy.
干预措施: Open nephrectomy (Procedure)
Hand-assisted laparoscopic nephrectomy
These patients will undergo a hand-assisted nephrectomy.
干预措施: Hand-assisted laparoscopic nephrectomy (Procedure)
Laparoscopic nephrectomy
These patients will undergo a pure laparoscopic nephrectomy.
干预措施: Laparoscopic nephrectomy (Procedure)
结局指标
主要结局
Rate of medical complications in renal graft recipients through 30 day after the nephrectomy.
时间窗: Through 30 days post surgery.
The investigators will evaluate the presence of surgical and medical complications in renal graft recipients obtained by open nephrectomy, hand assisted nephrectomy, and pure laparoscopic nephrectomy.
次要结局
- Days of hospital stay(30 days after the nephrectomy.)
- Bleeding during the nephrectomy(Through the nephrectomy)
- JJ catheter placement(Perioperative (5 days post surgery))
- Serum creatinine(Days post trasplant 1, 5 and 28.)
- Duration of the nephrectomy in minutes(Minutes from the beginning to the end of the nephrectomy)
- Warm ischemia time in the graft(Time in minutes between the clamping of the renal vessels and the cooling of the graft with the preservation liquid at 4º C)
研究者
Alejandro Gonzalez-Ojeda
Full time surgical researcher
Instituto Mexicano del Seguro Social