Belorusov O S, Goriaĭnov V A, Milanov N O
Khirurgiia (Mosk). 1991 Jan(1):106-9.
Among 99 operations for transplantation of a kidney from a living kindred donor 6 were carried out with the use of kidneys which had many arteries. Five patients received a kidney with 2 arteries, and one patient, a kidney with 3 arteries. The donors were: a mother (1), a father (2), a sister (2), a brother (1). The left kidney was transplanted in all cases. In 5 patients kidney implantation was preceded by extracorporeal reconstruction on the arteries of the kidney (accessory arteries were anastomosed end-to-side with the main trunk of the renal artery) carried out under conditions of cold storage. In one female patient first the kidney was implanted by the standard method whereas the artery of the lower pole was anastomosed end-to-end with the inferior epigastric artery by means of microsurgical techniques. The transplants functioned well from the first day after the operation in all patients. In one patient the transplant was rejected 2 years and 7 months after the operation. The others function satisfactorily. The longest follow-up period is 5 years and 8 months, the shortest, 9 months. It is concluded that transplantation of a kidney with numerous arteries from a living kindred donor is an effective method for the treatment of patients suffering from the terminal stage of chronic renal insufficiency.
在99例活体亲属供肾移植手术中，有6例使用了有多支动脉的肾脏。5例患者接受了有2支动脉的肾脏，1例患者接受了有3支动脉的肾脏。供者分别为：母亲（1例）、父亲（2例）、姐妹（2例）、兄弟（1例）。所有病例均移植左肾。5例患者在肾脏植入前，于低温保存条件下对肾脏动脉进行了体外重建（副动脉与肾动脉主干端侧吻合）。1例女性患者首先采用标准方法植入肾脏，然后通过显微外科技术将下极动脉与腹壁下动脉端端吻合。所有患者术后第一天移植肾即功能良好。1例患者术后2年7个月移植肾发生排斥反应。其他患者功能良好。随访时间最长为5年8个月，最短为9个月。结论是，活体亲属供者有多支动脉的肾脏移植是治疗慢性肾功能不全终末期患者的一种有效方法。
