Langer Robert, Perner Ferenc
Semmelweis Egyetem, Altalános Orvostudományi Kar, Transzplantánciós és Sebészeti Klinika, Budapest.
Orv Hetil. 2003 Jun 8;144(23):1115-9.
The authors give an overview on renal autotransplantation on occasion of Emerich (Imre) Ullmann's pioneer operation 100 years ago. Ullmann was born in 1861 in Pécs, Hungary. After finishing the Vienna Medical School, he worked on the I. Surgical Clinic of the University of Vienna. In 1902, already as the chief of surgery of a Vienna hospital he successfully performed canine kidney autotransplantation, later also technically successful allo- and xenotransplantation. Human renal autotransplantations have been performed since the early 1960's mainly because of renovascular hypertension/aneurysm or ureter injuries or tumor. Rare indications are the loin pain-hematuria syndrome, echinococcosis of the kidney, the nutcracker syndrome, ureteroarterial fistula and there are reports about allograft autotransplantations also. Lately, laparoscopy gained place and nephrectomies are done more often minimally invasive. In Hungary twenty-four cases of kidney autotransplantation were performed.
作者在埃默里希(伊姆雷)·乌尔曼100年前的开创性手术之际,对肾自体移植进行了概述。乌尔曼于1861年出生在匈牙利的佩奇。在完成维也纳医学院学业后,他在维也纳大学第一外科诊所工作。1902年,他已经担任维也纳一家医院的外科主任,成功进行了犬肾自体移植,后来同种异体和异种移植在技术上也取得了成功。自20世纪60年代初以来,人类肾自体移植主要是由于肾血管性高血压/动脉瘤、输尿管损伤或肿瘤。罕见的适应症包括腰痛血尿综合征、肾包虫病、胡桃夹综合征、输尿管动脉瘘,也有关于同种异体肾自体移植的报道。最近,腹腔镜手术得到应用,肾切除术更多地通过微创方式进行。在匈牙利,共进行了24例肾自体移植手术。