Ojo Peter, Ranga K Vinay, Brown Matthew, Hull David, Charpentier Kevin P
Department of Surgery, Hospital of Saint Raphael, New Haven, USA.
Conn Med. 2008 Nov-Dec;72(10):585-8.
We present a case of kidney transplantation utilizing a fused kidney with inferior ectopia. The kidney had three arteries, five veins and two ureters and was procured en bloc with the donor vena cava and aorta. The caudal end of the donor vena cava was anastomosed to the recipient's external iliac vein. The right common iliac artery of the donor, in continuity with the donor aorta, was anastomosed to the recipient's external iliac artery. The two ureters were implanted separately. The patientwas discharged home with a serum creatinine of 0.9 mg/dl. Through innovative techniques, kidneys that may not have been transplantable in the past can now be used with excellent results. This is the first known report of transplantation using a unilateral fused kidney with inferior ectopia.
我们报告一例利用融合肾伴低位异位进行肾移植的病例。该肾有三条动脉、五条静脉和两条输尿管，与供体腔静脉和主动脉整块获取。供体腔静脉的尾端与受体的髂外静脉吻合。供体的右髂总动脉与供体主动脉相连，与受体的髂外动脉吻合。两条输尿管分别植入。患者出院时血清肌酐为0.9mg/dl。通过创新技术，过去可能无法用于移植的肾脏现在可以取得优异的效果。这是已知首例关于使用单侧融合肾伴低位异位进行移植的报告。
