从一名24个月大的供体到成年受体的整块肾移植：病例报告及文献综述

Milonas Daimantas, Skarupskiene Inga, Aniulis Povilas, Stramaityte Irmante, Dalinkeviciene Egle, Stankuviene Asta

Lithuanian University of Health Sciences, Kaunas, Lithuania.

Cent European J Urol. 2017;70(1):123-127. doi: 10.5173/ceju.2016.911. Epub 2016 Dec 28.

Paediatric kidney transplantation into adult recipients is a well-recognised technique. However, there are different opinions regarding two methods of transplantation. These two opinions are single kidney transplantation (SKT) and en bloc kidney transplantation (EBKT) from donors up to 20 kg. We are reporting the first successful en bloc kidney transplantation from a small, paediatric donor into an adult recipient in our institution and discussing the appropriate recent literature regarding possible concerns using this technique. Despite the fact that paediatric donors are uncommon and surgical experiences are limited, en bloc kidney transplantation can be performed successfully and could be used to expand the donor pool.

将儿科肾脏移植给成年受者是一种公认的技术。然而，关于两种移植方法存在不同观点。这两种观点是对体重达20千克的供体进行单肾移植（SKT）和整块肾脏移植（EBKT）。我们报告了在我们机构首次成功地将一名小儿供体的整块肾脏移植给一名成年受者，并讨论了有关使用该技术可能存在问题的近期相关文献。尽管小儿供体并不常见且手术经验有限，但整块肾脏移植仍可成功实施，并可用于扩大供体库。