Pisaniello D, Campanella L, De Rosa P, Marcos A, Cuomo O
Laparoscopic Hepatobiliary Surgical Unit, Liver Transplant Center AORN A, Cardarelli, Naples, Italy.
Transplant Proc. 2011 May;43(4):1190-2. doi: 10.1016/j.transproceed.2011.03.047.
Horseshoe kidney, a congenital anatomic condition with fusion of the kidney poles, causes the organ to be placed around the aorta usually below the origin of the mesenteric artery. This congenital disorder affects about 1 in 400 people. Retrieval for multiorgan transplantation dissects and canulates major abdominal vessels, aorta and vena cava, below the renal vessels to infuse refrigerated preservation solution. The presence of a horseshoe kidney could be a hazard for the retrieval team when cannulating when following standard techniques. We have described herein a surgical maneuver exposing the anterior surface of the aorta for canulation. We transected the horseshoe kidney in the midline with the use of a linear cutter stapler GIA 60 mm (Ethicon), after previously ligating both kidney pedicles. This technique was safely performed without the need for cannulation through the iliac vessels.
马蹄肾是一种先天性解剖状况，肾极融合，致使该器官通常位于肠系膜动脉起始部下方的腹主动脉周围。这种先天性疾病约每400人中就有1人受影响。多器官移植获取时，要在肾血管下方解剖并插管至主要腹部血管（腹主动脉和腔静脉）以灌注冷藏保存液。按照标准技术进行插管时，马蹄肾的存在可能对获取团队构成危险。我们在此描述了一种暴露腹主动脉前表面以便插管的手术操作。在预先结扎双侧肾蒂后，我们使用60毫米线性切割吻合器GIA（爱惜康公司）在中线处横断马蹄肾。该技术安全实施，无需通过髂血管进行插管。
