Demir Mesut, Yesildal Cumhur, Yavuzsan Abdullah Hizir, Kirecci Sinan Levent, Dokucu Ali Ihsan
Health Sciences University, Sisli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
Health Sciences University, Sisli Hamidiye Etfal Training and Research Hospital, Department of Urology, Istanbul, Turkey.
Urol Case Rep. 2019 Dec 11;29:101097. doi: 10.1016/j.eucr.2019.101097. eCollection 2020 Mar.
46-year-old wife (donor) and 52-year-old husband (recipient) admitted to our clinic for kidney transplantation. CT angiography of the donor showed us there were bilateral renal double artery and a tortuous aorta that is deviated to the left side. The main artery cannot be reached by laparoscopy because of the upper level of renal artery and deviation of the aorta and an open conversion was performed. Presence of tortuous aorta with multiple renal arteries makes laparoscopic donor nephrectomy a challenging procedure even preformed by an experienced surgeon. The possibility of open conversion should always be kept in mind in these cases.
46岁的妻子（供体）和52岁的丈夫（受体）因肾移植入住我们的诊所。供体的CT血管造影显示双侧肾双动脉以及一条向左偏离的迂曲主动脉。由于肾动脉位置较高且主动脉偏离，腹腔镜无法触及主要动脉，因此进行了开放式转换。迂曲的主动脉和多条肾动脉的存在使得腹腔镜供体肾切除术即使由经验丰富的外科医生进行也是一项具有挑战性的手术。在这些情况下，应始终牢记开放式转换的可能性。
