Zipitis C S, Augustine T, Tavakoli A, Surange R, Agrawal A, Riad H N
Renal Transplant Unit, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK.
Surgeon. 2003 Jun;1(3):160-3. doi: 10.1016/s1479-666x(03)80097-5.
Even though the number of patients awaiting renal transplant is rapidly increasing, the donor pool remains relatively stable. In an attempt to increase this pool, marginal kidneys and kidneys with congenital anatomical variations are being used. Horseshoe kidneys, being the most common renal fusion anomaly, can provide a useful solution to the ever-increasing gap between demand and supply. These kidneys have been successfully transplanted en bloc into a single recipient or, alternatively they have been divided and transplanted into 2 recipients. We report a case of the successful transplantation of an en bloc horseshoe kidney into a single recipient. To the best of our knowledge this is the first of its kind in the U.K. The relevant literature is also reviewed with the aim of raising awareness about the necessity and promising outcomes of such transplants.
尽管等待肾移植的患者数量在迅速增加，但供体库仍相对稳定。为了扩大供体库，目前正在使用边缘肾脏和具有先天性解剖变异的肾脏。马蹄肾是最常见的肾脏融合异常，可为日益增长的供需差距提供一个有效的解决方案。这些肾脏已成功地整块移植给单个受者，或者被分割后移植给2个受者。我们报告了一例将整块马蹄肾成功移植给单个受者的病例。据我们所知，这在英国尚属首例。我们还对相关文献进行了综述，旨在提高人们对这类移植的必要性和良好预后的认识。
