肾移植中的血管吻合技术。

Vascular anastomosis techniques in renal transplants.

作者信息

Aguiló J, Rodriguez O, Gaete J, Galleguillos I

机构信息

Barros Luco Trudeau Hospital, Department of Surgery, University of Chile.

出版信息

Int Angiol. 1991 Jan-Mar;10(1):39-43.

PMID:2071973

Abstract

In our series of 250 RT's 192 (76.8%) from living donors and 58 (23.27%) from cadaver donors, there were 207 (88.8%) kidneys with a single renal artery, 40 (16%) with a double artery and 3 (1.2%) with a triple artery. End to side anastomosis to common iliac vessels was the most frequently used technique for kidneys with a single renal artery (52%). Extracorporeal renal surgery was performed on 83.7% of kidneys with multiple arteries. There were 32 (12.8%) complications with 6 (2.4%) unsuccessful RT's due to technical reasons. The actuarial survival of patients and grafts after 5 years from live donors was 87% and 69% and from cadaver donors was 78% and 46%, respectively.

摘要

在我们的250例肾移植系列中，192例（76.8%）来自活体供体，58例（23.27%）来自尸体供体，有207例（88.8%）肾脏为单支肾动脉，40例（16%）为双支动脉，3例（1.2%）为三支动脉。对于单支肾动脉的肾脏，端侧吻合至髂总血管是最常用的技术（52%）。83.7%有多支动脉的肾脏进行了体外肾脏手术。有32例（12.8%）并发症，6例（2.4%）肾移植因技术原因未成功。活体供体患者和移植物5年后的实际生存率分别为87%和69%，尸体供体分别为78%和46%。