Okamoto Masahiko, Suzuki Tomoyuki, Nobori Shuji, Ushigome Hidetaka, Yoshimura Norio
Department of Organ Interaction Research Medicine.
Department of Transplantation and Regenerative Surgery, Graduate School of Medical Science , Kyoto Prefectural University of Medicine , Kyoto , Japan.
NDT Plus. 2009 Oct;2(5):398-400. doi: 10.1093/ndtplus/sfp089. Epub 2009 Jul 16.
We describe herein a case of kidney transplantation after extremely long-term haemodialysis. A 66-year-old male received a kidney transplant from a deceased donor after maintenance haemodialysis for 38 years and 2 months. In spite of long-term haemodialysis, he showed minimal calcification of the iliac vessels, and transplantation was carried out successfully. Other than some difficulties in vesical rehabilitation, his postoperative course was favourable and he was finally discharged from the hospital on the 84th postoperative day. On a review of the literature, this case might represent the longest period of haemodialysis ever prior to kidney transplantation in the world.
我们在此描述一例长期血液透析后的肾移植病例。一名66岁男性在维持性血液透析38年零2个月后接受了来自已故供体的肾移植。尽管进行了长期血液透析，但他髂血管的钙化程度轻微，移植手术成功完成。除了膀胱修复存在一些困难外，他术后恢复顺利，最终在术后第84天出院。经查阅文献，该病例可能代表了世界上肾移植前血液透析时间最长的病例。
