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马蹄肾:肾移植中未得到充分利用的资源。

Horseshoe kidneys: an underutilized resource in kidney transplant.

作者信息

Pontinen Thomas, Khanmoradi Kamran, Kumar Anil, Kudsi Hussam, Cheng Kung Shiang, Chewaproug Daranee, Zaki Radi, Ortiz Jorge

机构信息

Department of Surgery, Albert Einstein Medical Center and Hahnemann University Hospital, Philadelphia, PA 19102, USA.

出版信息

Exp Clin Transplant. 2010 Mar;8(1):74-8.

PMID:20199375
Abstract

OBJECTIVES

Although the number of patients awaiting renal transplant is rapidly increasing, the donor pool has remained relatively stable. Horseshoe kidneys, a common renal fusion anomaly, can provide a useful solution to the ever increasing gap between supply and demand.

MATERIALS AND METHODS

These kidneys can be transplanted, en bloc, into a single recipient or divided and transplanted into 2 recipients.

RESULTS

We report 2 cases of successful kidney transplants.

CONCLUSIONS

The first is a split horseshoe kidney, transplanted into a single recipient, and the second, a horseshoe kidney from a donor after cardiac death split and transplanted into a single recipient. The second case is the first reported case of a horseshoe kidney transplant from a donor after cardiac death. We also performed a review of the literature of horseshoe kidneys with the hope of raising awareness of the necessity and promise of such transplants.

摘要

目的

尽管等待肾移植的患者数量在迅速增加,但供体库一直相对稳定。马蹄肾是一种常见的肾脏融合异常,可为日益扩大的供需差距提供一个有效的解决方案。

材料与方法

这些肾脏可以整块移植给单个受者,也可以分割后移植给2个受者。

结果

我们报告了2例成功的肾移植病例。

结论

第一例是将一个劈开的马蹄肾移植给单个受者,第二例是将一名心脏死亡供者的马蹄肾劈开后移植给单个受者。第二例是首例报道的心脏死亡供者马蹄肾移植病例。我们还对马蹄肾的文献进行了综述,希望提高人们对这种移植的必要性和前景的认识。

相似文献

1
Horseshoe kidneys: an underutilized resource in kidney transplant.马蹄肾:肾移植中未得到充分利用的资源。
Exp Clin Transplant. 2010 Mar;8(1):74-8.
2
Horseshoe kidney transplantation.马蹄肾移植
Surgeon. 2003 Jun;1(3):160-3. doi: 10.1016/s1479-666x(03)80097-5.
3
Strategies for transplantation of cadaveric kidneys with congenital fusion anomalies.先天性融合异常尸体肾移植的策略
J Urol. 2001 Mar;165(3):761-5.
4
Horseshoe kidney for transplant: report of 3 cases.马蹄肾用于移植:3例报告。
Exp Clin Transplant. 2007 Dec;5(2):716-9.
5
Transplantation of horseshoe kidney en bloc.马蹄肾整块移植。
Int Surg. 2000 Jul-Sep;85(3):272-4.
6
Aortic extension for en bloc transplantation of horseshoe kidneys.马蹄肾整块移植的主动脉延长术。
Urology. 2007 Feb;69(2):375-6. doi: 10.1016/j.urology.2007.01.010.
7
Current opinions in horseshoe kidney transplantation.马蹄肾移植的当前观点。
Transpl Int. 2002 Apr;15(4):196-9. doi: 10.1007/s00147-002-0388-y. Epub 2002 Mar 21.
8
Successful reuse of a transplanted kidney: 3-year follow-up.移植肾的成功复用:3年随访
Am J Kidney Dis. 2007 Jul;50(1):143-5. doi: 10.1053/j.ajkd.2007.04.016.
9
Experience with dual kidney transplants from donors at the extremes of age.来自极端年龄供体的双肾移植经验。
Surgery. 2006 Oct;140(4):597-605; discussion 605-6. doi: 10.1016/j.surg.2006.07.004. Epub 2006 Aug 22.
10
Outcome of renal transplants from pediatric donors <5 yr of age.5岁以下小儿供体肾移植的结果
Clin Transplant. 2005 Jun;19(3):316-20. doi: 10.1111/j.1399-0012.2005.00319.x.

引用本文的文献

1
transplantation of horseshoe kidney in Korea.韩国马蹄肾移植术
Ann Surg Treat Res. 2017 Mar;92(3):168-172. doi: 10.4174/astr.2017.92.3.168. Epub 2017 Feb 24.
2
Transplantation of a horseshoe kidney from a living donor: Case report, long term outcome and donor safety.活体供体马蹄肾移植:病例报告、长期预后及供体安全性
Int J Surg Case Rep. 2015;15:21-5. doi: 10.1016/j.ijscr.2015.08.008. Epub 2015 Aug 12.
3
Transplantation of Horseshoe Kidney from Living, Genetically Unrelated Donor.活体非亲缘供体马蹄肾移植
Case Rep Transplant. 2015;2015:390381. doi: 10.1155/2015/390381. Epub 2015 Jul 9.
4
Horseshoe kidney transplantation.马蹄肾移植
Interv Med Appl Sci. 2015 Jun;7(2):85-9. doi: 10.1556/1646.7.2015.2.7. Epub 2015 Jun 11.
5
Segmental Renal Ischemia following Transplantation of Horseshoe Kidney as Separate Allografts.马蹄肾作为独立异体肾移植后的节段性肾缺血
Case Rep Transplant. 2013;2013:852127. doi: 10.1155/2013/852127. Epub 2013 Feb 17.