Yildirim M, Kucuk H F
Kartal Research and Education Hospital, Istanbul, Turkey.
Transplant Proc. 2011 Apr;43(3):816-8. doi: 10.1016/j.transproceed.2010.11.017.
We reviewed our renal transplantation experience with multiple renal arteries and veins.
We divided the patients who underwent renal transplantation between 2004 and 2009 into two groups according to the vascular structure: multiple (group 1) versus single (group 2). Vascular anastomoses were primarily completed in an end-to-side manner to the external iliac artery and vein. The number of involved vessels was 51 among the 23 patients in group 1. We evaluated the function of the transplanted kidney using scintigraphic studies and serum creatinine levels.
The male:female ratios were 15:8 and 73:30, mean ages 31.9 (range = 12-64) and 33.4 (range = 17-64) years, and the living related:cadaveric donor ratios 18:5 and 75:28 for groups 1 and 2, respectively. There was one case of acute rejection in group 1, and seven cases in group 2. The number of kidneys with delayed function was 11 in group 2 and one in group 1. Two perirenal abscesses, two urinary fistulae, one lymphocele, two hematomas around the kidney, and four renal artery stenoses were seen in group 2. The complication rates were 21.79% in group 1 and 35.92% in group 2. (χ(2) = 1.70, P > .05). The mean creatinine levels at 1 month after the transplantation were 1.21 ± 0.38 mg/dL and 1.12 ± 0.31 mg/dL in groups 1 and 2, respectively (P = .215).
The incidences of postoperative complications were not different for renal grafts involving multiple versus single vessels.
我们回顾了我们在多支肾动脉和肾静脉肾移植方面的经验。
我们将2004年至2009年间接受肾移植的患者根据血管结构分为两组：多支血管组（第1组）和单支血管组（第2组）。血管吻合主要采用端侧吻合方式与髂外动脉和静脉进行。第1组23例患者中涉及的血管数量为51支。我们使用肾动态显像研究和血清肌酐水平评估移植肾的功能。
第1组和第2组的男女比例分别为15:8和73:30，平均年龄分别为31.9岁（范围=12 - 64岁）和33.4岁（范围=17 - 64岁），活体亲属供体与尸体供体的比例分别为18:5和75:28。第1组有1例急性排斥反应，第2组有7例。移植肾功能延迟的肾脏数量在第2组为11个，在第1组为1个。第2组出现2例肾周脓肿、2例尿瘘、1例淋巴囊肿、2例肾周血肿和4例肾动脉狭窄。第1组的并发症发生率为21.79%，第2组为35.92%。（χ² = 1.70，P > 0.05）。移植后1个月时，第1组和第2组的平均肌酐水平分别为1.21±0.38mg/dL和1.12±0.31mg/dL（P = 0.215）。
多支血管与单支血管的肾移植术后并发症发生率没有差异。
