Pinchuk A, Dmitriev I, Lazareva K, Storozhev R, Balkarov A, Anisimov Y, Kondrashkin A
Department of Pancreas and Kidney Transplantation, Sklifosovsky Scientific and Research Institute for Emergency Medicine, Moscow, Russia.
Department of Pancreas and Kidney Transplantation, Sklifosovsky Scientific and Research Institute for Emergency Medicine, Moscow, Russia.
Transplant Proc. 2017 Dec;49(10):2347-2351. doi: 10.1016/j.transproceed.2017.10.005.
The persistent relative high incidence of duodenum-associated surgical complications significantly reduces pancreas grafts' (PG) and recipients' survival rates. A 31-year-old female patient underwent retroperitoneal pancreas transplantation with the use of PG exocrine drainage into the recipient's duodenum via the "button technique" approach. An uncomplicated postoperative period with satisfactory function of both transplants (pancreas and kidney) was noted. This was the 1st time ever that the transplantation was performed with the use of retroperitoneal placement of the pancreas transplant and duodenal drainage via the "button technique" approach. It is possible that the absence of the duodenal stump in the donor's transplant has a number of benefits in the postoperative period, which can be confirmed during the follow-up observations.
十二指肠相关手术并发症的持续相对高发生率显著降低了胰腺移植（PG）和受者的生存率。一名31岁女性患者接受了腹膜后胰腺移植，采用“纽扣技术”将PG外分泌引流至受者十二指肠。术后过程顺利，两个移植器官（胰腺和肾脏）功能良好。这是首次采用腹膜后放置胰腺移植并通过“纽扣技术”进行十二指肠引流的移植手术。供体移植中没有十二指肠残端可能在术后有诸多益处，这一点可在随访观察中得到证实。
