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Living kidney
donors who have laparoscopic rather than open surgery have significantly
less postoperative pain and require less time to return to their
normal activities, according to UCLA researchers.
Since this
less invasive surgical technique was first used to remove a donor
kidney in 1995, the number of laparoscopic donor surgeries has
soared and now accounts for the vast majority of kidney donor
surgeries at many major medical centers.
Reporting
in the Journal of Urology, the researchers said they evaluated
pain, convalescence and health-related quality of life in patients
undergoing laparoscopic and open mini-incision donor surgery using
two questionnaires.
The first
questionnaire evaluated postoperative pain, return to functioning
time and satisfaction. The second was a health survey quality
of life assessment.
"Pain
in the laparoscopic group was significantly less than in the mini-incision
group at all followup time points," the researchers reported.
"Statistically significant differences demonstrated that
laparoscopy led to more rapid recovery time in certain categories,
including walking, discontinuation of prescribed oral pain relievers,
return to driving, and resumption of normal work and home daily
activities."
"In addition,
the laparoscopic group showed significantly higher quality of
life scores than the mini-incision group," the researchers
reported.
Other
Sources:
Yomiuri Shimbun
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