pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMUpmj-524Research ArticleМЕТОДИКАMETHODSЛапароскопическая нефрэктомия при донорской трансплантации почки: выбор методаLaparoscopic nephrectomy in donor kidney transplantation: choice of methodСоколовА. А.SokolovA. A.alexander.sokolow.surgeon@gmail.comБиктимировР. Г.BiktimirovR. G.noemail@neicon.ruМартовА. Г.MartovA. G.noemail@neicon.ruРоссийская медицинская академия последипломного образованияРоссияRussian Medical Academy of Postdiploma EducationRussian FederationИнститут последипломного профессионального образования Федерального медико-биологического агентства России; Клиническая больница № 119 Федерального медико-биологического агентства РоссииРоссияInstitute of Professional Postdiploma Education of Federal Medico-Biology Agency of Russia; Clinical Hospital No. 119 of Federal Medico-Biology Agency of RussiaRussian FederationРоссийская медицинская академия последипломного образования; Институт последипломного профессионального образования Федерального медико-биологического агентства РоссииРоссияRussian Medical Academy of Postdiploma Education; Institute of Professional Postdiploma Education of Federal Medico-Biology Agency of RussiaRussian Federation201528122015046971Copyright © Соколов А.А., Биктимиров Р.Г., Мартов А.Г., 20152015Соколов А.А., Биктимиров Р.Г., Мартов А.Г.Sokolov A.A., Biktimirov R.G., Martov A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/524

Трансплантация почки является оптимальной альтернативой для пациентов с терминальной стадией почечной недостаточности. Развитие методики забора почки идет по пути стремления к минимальной инвазивности при сохранении максимальной безопасности для донора. Ведущую роль играет также качество и состав получаемого почечного трансплантата. Вышеперечисленные требования привели к созданию лапароскопической нефрэктомии у живого донора. Стандартом забора почки на сегодняшний день становится лапароскопическая нефрэктомия с установкой ручного порта. Однако, в ряде случаев ее выполнение возможно без ручной ассистенции. В статье анализируются показания к отсроченной установке ручного порта при выполнении лапароскопического донорского забора почки.

Kidney transplantation from a living donor is the best alternative for patients with end-stage renal failure. Development of a technique donor kidney is on the quest for minimally invasive procedures, while maintaining maximum safety for the donor. Plays a leading role as the quality and composition of the resulting renal transplant since it can influence its function depends on the longterm and, accordingly, the recipients health. The above requirements have led to the creation of a unique in its kind, the operation - laparoscopic nephrectomy from a living donor. Standard fence kidney at the moment in the world of laparoscopic donor nephrectomy is a «hand-assisted» technique. However, in some cases, possibly a delayed introduction of «hand-port» or laparoscopic nephrectomy without manual assisted with the introduction of the hand into the abdomen to extract the kidney at the final stage. The purpose of this article is to identify the indications for possible delayed installation manual port.

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The authors declare that there are no conflicts of interest present.