整块移植：单侧双肾移植的一种可行技术。
En-bloc Transplantation: an Eligible Technique for Unilateral Dual Kidney Transplantation.
作者信息
Salehipour M, Bahador A, Nikeghbalian S, Kazemi K, Shamsaeifar A R, Ghaffaripour S, Sahmeddini M A, Salahi H, Bahreini A, Janghorban P, Gholami S, Malek-Hosseini S A
机构信息
Shiraz Organ Transplant Unit, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Int J Organ Transplant Med. 2012;3(3):111-4.
BACKGROUND
Kidney transplantation is the best available treatment for patients with end-stage renal disease.
OBJECTIVE
To evaluate the en bloc anastomosis technique for unilateral dual kidney transplantation (DKT).
METHODS
From May to October 2011, 5 patients (4 women and 1 man) with mean age of 31.8 years underwent unilateral DKT with this technique in which distal end of the aorta and proximal end of inferior vena cava (IVC) were closed with running sutures. Then, proximal end of the aorta and distal end of the IVC were anastomosed to internal (or external) iliac artery and external iliac vein, respectively.
RESULTS
Post-operative course was uneventful. No vascular and urologic complications developed; all patient had acceptable serum creatinine at discharge time and up of 2-6 months of post-operation follow up.
CONCLUSION
Unilateral DKT is a safe method for performing DKT. The proposed en bloc anastomosis can improve the outcome of the graft by reducing the cold ischemia and the operation time.
背景
肾移植是终末期肾病患者可采用的最佳治疗方法。
目的
评估单侧双肾移植（DKT）的整块吻合技术。
方法
2011年5月至10月，5例患者（4例女性，1例男性），平均年龄31.8岁，采用该技术接受单侧DKT，术中用连续缝线封闭主动脉远端和下腔静脉（IVC）近端。然后，将主动脉近端和IVC远端分别与髂内（或外）动脉和髂外静脉吻合。
结果
术后过程顺利。未发生血管和泌尿系统并发症；所有患者出院时及术后2至6个月随访时血清肌酐均在可接受范围内。
结论
单侧DKT是进行DKT的一种安全方法。所提出的整块吻合可通过减少冷缺血时间和手术时间来改善移植效果。
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