Ortiz Jorge, Parsikia Afshin, Horrow Mindy M, Khanmoradi Kamran, Campos Stalin, Zaki Radi
1 Department of Transplant Surgery, Einstein Medical Center, Philadelphia, Pennsylvania, USA.
Int Surg. 2014 Nov-Dec;99(6):851-6. doi: 10.9738/INTSURG-D-13-00214.1.
Renal allograft compartment syndrome (RACS) is graft dysfunction secondary to intracompartment hypertension. The purpose of this study was to identify risk factors for RACS. We reviewed 7 cases of established RACS and all intra-abdominal placements of the kidney in order to include potential RACS. We also studied early graft losses in order to rule out a missed RACS. We compared the allograft length and width, recipient height, weight, body mass index, aberrant vessels, site of incision, and side of kidney with the remainder of the cohort as potential predictors of RACS. Among 538 transplants, 40 met the criteria for actual RACS or potential RACS. We uncovered 7 cases of RACS. Only kidney length and width were statistically significant (P = 0.041 and 0.004, respectively). The width was associated with a higher odds ratio than was length (2.315 versus 1.61). Increased allograft length and width should be considered as a potential risk for RACS.
肾移植受者隔室综合征（RACS）是继发于隔室内高压的移植物功能障碍。本研究的目的是确定RACS的危险因素。我们回顾了7例确诊的RACS病例以及所有肾脏的腹腔内植入情况，以便纳入潜在的RACS病例。我们还研究了早期移植物丢失情况，以排除漏诊的RACS。我们将移植物的长度和宽度、受者的身高、体重、体重指数、异常血管、切口部位和肾脏侧别与队列中的其他病例进行比较，作为RACS的潜在预测因素。在538例移植病例中，40例符合实际RACS或潜在RACS的标准。我们发现了7例RACS。只有肾脏长度和宽度具有统计学意义（P值分别为0.041和0.004）。宽度的优势比高于长度（分别为2.315和1.61）。移植物长度和宽度增加应被视为RACS的潜在风险因素。
