活体肾移植中用于延长肾静脉的性腺静脉重建：两例报告。
Gonadal vein reconstruction for extension of the renal vein in living renal transplantation: two case reports.
作者信息
Mikhalski D, Hoang A D, Bollens R, Laureys M, Loi P, Donckier V
机构信息
Digestive Surgery, Clinic of Abdominal Transplantation, Hôpital Erasme, Université Libre de Bruxelles, 808 route de Lennik, 1070 Brussels, Belgium.
出版信息
Transplant Proc. 2007 Oct;39(8):2681-4. doi: 10.1016/j.transproceed.2007.08.088.
BACKGROUND
When the left kidney is harvested for living donor transplantation (LDKT), the short length of the left renal vein may eventually created a technical problem for reimplantation of the graft. We report an original technique, using the donor gonadal vein to extend the left renal vein and facilitate graft implantation.
CASE REPORT
In the first case, the native graft gonadal vein was successfully used to extent a short renal vein after laparoscopic donor nephrectomy. The graft gonadal vein was utilized for the creation of graft venous return in the second case. Good graft function was observed in both cases.
DISCUSSION
This original technique could lead to a functionally acceptable anastomosis without use of supplementary donor or recipient vascular tissue and ultimately to good organ function without increased peri- or postoperative morbidity during LDKT. A precise preoperative assessment of donor vascular anatomy is a key factor for donor safety and successful LDKT.
背景
当为活体供肾移植（LDKT）获取左肾时，左肾静脉较短最终可能给移植肾的再植入造成技术难题。我们报告一种原创技术，即利用供体性腺静脉延长左肾静脉并便于移植肾植入。
病例报告
在第一例中，自体移植性腺静脉在腹腔镜供肾切除术后成功用于延长短肾静脉。在第二例中，移植性腺静脉用于建立移植肾静脉回流。两例均观察到移植肾功能良好。
讨论
这种原创技术无需使用额外的供体或受体血管组织即可实现功能上可接受的吻合，最终在活体供肾移植期间不增加围手术期或术后发病率的情况下实现良好的器官功能。对供体血管解剖结构进行精确的术前评估是供体安全及活体供肾移植成功的关键因素。
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