Uwatoko N, Asano T, Hayakawa M, Ikeda Y, Miyajima A, Nakajima F, Nakamura H
Department of Urology, National Defense Medical College.
Nihon Hinyokika Gakkai Zasshi. 1999 Jan;90(1):57-60. doi: 10.5980/jpnjurol1989.90.57.
At the time of donor nephrectomy, congenital abnormalities of the inferior vena cava was discovered. A 56-year-old woman was worked up preoperatively and no abnormalities were found. Abdominal aortography was normal. At the time of operation, the inferior vena cava was located to the left and anterior to the abdominal aorta. In the renal hilus, the location of the renal artery and vein was reversal. We thought the ideas of operation and could successfully performed renal transplantation using donor kidney with congenital abnormalities of the inferior vena cava.
在供体肾切除术时,发现下腔静脉存在先天性异常。一名56岁女性术前检查未发现异常。腹部主动脉造影正常。手术时,下腔静脉位于腹主动脉左侧且在其前方。在肾门处,肾动脉和静脉的位置颠倒。我们认为可按此手术思路,使用存在下腔静脉先天性异常的供肾成功进行肾移植。