Tzvetanov Ivo, Spaggiari Mario, Jeon Hoonbae, Garcia-Roca Raquel, Osipova Maria, Oberholzer Jose, Benedetti Enrico
Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Exp Clin Transplant. 2012 Jun;10(3):293-5. doi: 10.6002/ect.2011.0165.
With the current disparity between donor organ availability and recipient need, creative techniques help optimize the use of available organs. We present a case of a woman, who was worked-up as a kidney donor, who was incidentally found to have a saccular aneurysm on her renal artery. The patient was asymptomatic, normotensive, and had normal renal function.
We performed a laparoscopic robotic donor nephrectomy, repaired the aneurysm on the back table, and transplanted the organ into the recipient.
The donor underwent a successful robotic nephrectomy, successfully eradicating any risk of aneurysmal complications; the recipient received an anatomically normal organ with excellent function.
An altruistic act by the donor identified a potentially fatal lesion, which was not only remedied, but the intended donation proceeded when a creative approach was used.
鉴于目前供体器官可用性与受体需求之间的差距，创新技术有助于优化可用器官的使用。我们报告一例女性病例，该女性作为肾脏供体接受评估时，偶然发现其肾动脉有一个囊状动脉瘤。患者无症状，血压正常，肾功能正常。
我们进行了腹腔镜机器人供肾切除术，在手术台上修复了动脉瘤，然后将器官移植给受体。
供体成功接受了机器人肾切除术，成功消除了动脉瘤并发症的任何风险；受体接受了一个解剖结构正常且功能良好的器官。
供体的利他行为发现了一个潜在的致命病变，该病变不仅得到了治疗，而且在采用创新方法时，预期的捐赠得以进行。
