Badosa F, Mital D, Sands L, Hisey M, Raja R, Bannett A, Morris M
Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, PA 19141, USA.
Transpl Int. 1994;7 Suppl 1:S412-3. doi: 10.1111/j.1432-2277.1994.tb01406.x.
Enteric drainage is a sound surgical technique in SKP, and it avoids the majority of urological as well as metabolic complications. We did not see an increase in intraabdominal complications or of graft loss due to rejection. Intestinal leak is rare and easily managed provided a Roux-Y loop of jejunum is used. Even though the number of patients was small and the follow-up short, the results of the RY group were at least comparable to the BD group. In view of our results, we plan to use this technique in all our future SKP patients.
肠道引流是胰肾联合移植(SKP)中一种可靠的外科技术,它能避免大多数泌尿系统及代谢方面的并发症。我们并未观察到腹腔内并发症的增加,也未发现因排斥反应导致的移植物丢失。只要使用空肠的Roux-Y袢,肠漏就很少见且易于处理。尽管患者数量少且随访时间短,但RY组的结果至少与BD组相当。鉴于我们的研究结果,我们计划在未来所有的胰肾联合移植患者中使用该技术。