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心脏死亡后供体行回肠代膀胱术的成功肾移植。

Successful kidney transplantation from a donation after cardiac death donor with an ileal conduit.

作者信息

Bellingham J M, Anderson M E, D'Alessandro A M

机构信息

Department of Surgery, Division of Transplantation University of Wisconsin Medical School, H4/7 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792-7375, USA.

出版信息

Transplant Proc. 2009 Dec;41(10):4420-1. doi: 10.1016/j.transproceed.2009.09.063.

Abstract

Kidney transplantation is the treatment of choice for those affected by end-stage renal disease. Consent for organ donation continues to be one of the greatest challenges to transplanting more patients waiting for a life-saving transplant. In an attempt to increase the donor pool for patients on kidney transplant waiting lists, transplant surgeons and physicians have expanded their acceptance criteria to include expanded criteria donors, donation after cardiac death donors, as well as those donors who present unique technical challenges to organ recovery. Here we report a successful kidney transplant from a kidney donor who died from cardiac causes and who previously underwent an ileal conduit for a neurogenic urinary bladder secondary to a spinal cord injury.

摘要

肾移植是终末期肾病患者的首选治疗方法。器官捐赠的同意仍然是为更多等待救命移植的患者进行移植的最大挑战之一。为了增加肾移植等待名单上患者的供体库,移植外科医生和内科医生扩大了接受标准,将扩大标准供体、心脏死亡后捐赠供体以及那些在器官获取方面存在独特技术挑战的供体纳入其中。在此,我们报告一例成功的肾移植手术,供体为一名因心脏原因死亡的患者,该患者此前因脊髓损伤继发神经源性膀胱而接受了回肠代膀胱术。

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