Urology Department, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036, Barcelona, Spain.
Curr Urol Rep. 2020 Mar 13;21(2):14. doi: 10.1007/s11934-020-0965-6.
Nowadays many ESRD patients awaiting kidney transplantation have known unsuitable iliac vessels for vascular anastomosis, due to severe atheromatosis, occupied iliac fossa, or other uncommon vascular abnormalities. In these cases, orthotopic kidney transplantation (OKT) could be the solution.
Since the update on OKT published in 2010, no more large series have been reported. Some small series or case reports being described in the literature. The orthotopic position has shown good recipient and graft results with acceptable complication rate in selected patients. This technique permits the possibility of kidney transplantation, in patients unfit for heterotopic kidney transplantation (HKT), and consequently the avoidance of the dialysis treatment. In this paper, we review what is new in the literature, analyzing indications, technique, and results of this surgical approach.
如今，许多等待肾移植的终末期肾病患者由于严重的动脉粥样硬化、髂窝占位或其他不常见的血管异常，导致髂血管不适合进行血管吻合。在这些情况下，原位肾移植（OKT）可能是一种解决方案。
自 2010 年发表的关于 OKT 的更新内容以来，尚未有更多的大型系列报道。一些小型系列或病例报告在文献中有描述。在选定的患者中，该原位方法显示出良好的受者和移植物结果，且并发症发生率可接受。该技术允许对不适合异位肾移植（HKT）的患者进行肾移植，并避免透析治疗。本文综述了文献中的新进展，分析了该手术方法的适应证、技术和结果。
