Bang Jun Bae, Lee Jae Myeong, Oh Chang-Kwon, Lee Kyo Won, Park Jae Berm, Kim Sung Joo, Lee Su Hyung
Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ann Surg Treat Res. 2017 Mar;92(3):168-172. doi: 10.4174/astr.2017.92.3.168. Epub 2017 Feb 24.
Transplantation of the horseshoe kidney can be performed or split into 2 grafts according to the vascular anomaly and the existence of the urinary collecting system in isthmus. From 2011 to 2014, there were 3 horseshoe kidney transplantations in Korea and transplantations were performed at 2 different centers. The transplantations were carried out successfully for all recipients without complications. All recipients have shown good graft kidney function after transplantation. No severe complication was revealed during follow-up period. We described the surgical technique used in the method to overcome various vascular anomalies and difficulties in choosing cannulation site and postoperative complications. transplantation of a horseshoe kidney is a useful strategy for patients with end-stage renal disease, and can provide favorable outcomes compared to the transplantation of a normal kidney.
马蹄肾移植可根据血管异常情况以及峡部有无泌尿系统收集系统，将其整块移植或分割为两个移植物。2011年至2014年期间，韩国共进行了3例马蹄肾移植手术，手术在两个不同中心开展。所有受者均成功接受移植，无并发症发生。所有受者移植后移植肾功能良好。随访期间未发现严重并发症。我们描述了该方法中用于克服各种血管异常、选择插管部位困难以及术后并发症的手术技巧。马蹄肾移植对于终末期肾病患者是一种有效的策略，与正常肾移植相比可提供良好的结果。
