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小儿整块肾移植术后罕见的双侧肾实质尿漏：首例病例研究报告

Unusual Bilateral Renal Parenchymal Urine Leak After Pediatric En Bloc Kidney Transplantation: First Case Study Report.

作者信息

Sharma Amit, Nayak Rahul U, Gupta Gaurav, Cotterell Adrian

机构信息

Hume-Lee Transplant Center, Richmond, VA.

School of Medicine Virginia Commonwealth University, Richmond, VA.

出版信息

Transplant Direct. 2018 Aug 27;4(9):e386. doi: 10.1097/TXD.0000000000000825. eCollection 2018 Sep.

DOI:10.1097/TXD.0000000000000825
PMID:30234155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6133410/
Abstract

Kidney transplantation is usually the best course of treatment for patients with end-stage renal disease. En bloc kidney transplantation (EBKT) is a surgical treatment option that increases available donor organs with excellent graft survival for patients with end-stage renal disease. Herein, we report a case of an unusual bilateral renal parenchymal urine leak after EBKT leading to removal of both moieties of the EBKT. This unfortunate complication after EBKT, to our knowledge, is the only reported of its kind. We explore the possible causes of the bilateral parenchymal urine leaks and suggest preventive strategies to avoid urological complications after EBKT.

摘要

肾移植通常是终末期肾病患者的最佳治疗方案。整块肾移植（EBKT）是一种外科治疗选择，可为终末期肾病患者增加可用的供体器官，并具有出色的移植物存活率。在此，我们报告一例整块肾移植术后罕见的双侧肾实质尿漏病例，导致整块肾移植的两个部分均被切除。据我们所知，这种整块肾移植术后的不幸并发症是此类报告中的首例。我们探讨了双侧实质尿漏的可能原因，并提出预防整块肾移植术后泌尿系统并发症的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/6133410/5fad334358d6/txd-4-e386-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/6133410/91a8739387a5/txd-4-e386-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/6133410/5cfc638a89ee/txd-4-e386-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/6133410/5fad334358d6/txd-4-e386-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/6133410/91a8739387a5/txd-4-e386-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/6133410/5cfc638a89ee/txd-4-e386-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/6133410/5fad334358d6/txd-4-e386-g003.jpg

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本文引用的文献

1
Single pediatric kidney transplantation in adult recipients: comparable outcomes with standard-criteria deceased-donor kidney transplantation.成人受者中单个儿科供肾移植：与标准供肾 deceased-donor 移植的可比结局。
Transplantation. 2013 Jun 15;95(11):1354-9. doi: 10.1097/TP.0b013e31828a9493.
2
En bloc kidney transplantation from pediatric donors: comparable outcomes with living donor kidney transplantation.小儿供者整块肾脏移植：与活体供者肾脏移植相当的结果。
Transplantation. 2011 Sep 15;92(5):564-9. doi: 10.1097/TP.0b013e3182279107.
3
One-year follow-up of en bloc renal transplants from pediatric donors in adult recipients.
成人受者接受小儿供体整块肾移植的一年随访。
Transplant Proc. 2010 Oct;42(8):2841-4. doi: 10.1016/j.transproceed.2010.07.070.
4
Pediatric en bloc kidney transplantation to adult recipients: more than suboptimal?小儿整块式肾移植给成人受者：不仅仅是次优选择？
Transplantation. 2010 Aug 15;90(3):248-54. doi: 10.1097/TP.0b013e3181e641f8.
5
Kidney and pancreas transplantation in the United States, 1999-2008: the changing face of living donation.美国 1999-2008 年的肾和胰腺移植：活体捐献者的变化。
Am J Transplant. 2010 Apr;10(4 Pt 2):987-1002. doi: 10.1111/j.1600-6143.2010.03022.x.
6
En bloc paediatric kidney transplant: is this the best use of a scarce resource?
ANZ J Surg. 2009 Jan-Feb;79(1-2):27-32. doi: 10.1111/j.1445-2197.2008.04793.x.
7
Partial bladder transplantation with en bloc kidney transplant--the first case report of a 'bladder patch technique' in a human.部分膀胱移植联合整块肾移植——人类首例“膀胱补片技术”病例报告
Am J Transplant. 2008 May;8(5):1060-3. doi: 10.1111/j.1600-6143.2008.02180.x. Epub 2008 Feb 29.
8
En bloc kidney transplantation from pediatric cadaveric donors to adult recipients.从儿科尸体供体到成年受者的整块肾脏移植。
Urol J. 2006 Spring;3(2):82-6.
9
Superiority of pediatric en bloc renal allografts over living donor kidneys: a long-term functional study.小儿整块肾移植相对于活体供肾的优越性：一项长期功能研究。
Transplantation. 2006 Aug 15;82(3):348-53. doi: 10.1097/01.tp.0000228872.89572.d3.
10
Increasing the donor pool using en bloc pediatric kidneys for transplant.利用整块小儿肾脏增加移植供体库。
Transplantation. 2003 Oct 27;76(8):1180-4. doi: 10.1097/01.TP.0000090395.98045.09.