Lacombe M
Ann Surg. 1986 Jan;203(1):62-8. doi: 10.1097/00000658-198601000-00011.
Five patients who had undergone renal transplantation 3 months to 23 years ago were operated on successfully for an abdominal aortic aneurysm. In the first case, dating from 1973, the kidney was protected by general hypothermia. In the remaining patients, no measure was used to protect the kidney. Only one patient showed a moderate increase of blood creatinine in the postoperative period; renal function returned to normal in 15 days. All five patients have normal renal function 6 months to 11 years after aortic repair. Results obtained in this series show that protection of the transplant during aortic surgery is not necessary, provided adequate surgical technique is used. Such a technique is described in detail. Its use simplifies surgical treatment of such lesions and avoids the complex procedures employed in the seven previously published cases.
5例在3个月至23年前接受肾移植的患者成功接受了腹主动脉瘤手术。第一例发生在1973年，通过全身低温保护肾脏。其余患者未采取保护肾脏的措施。术后仅1例患者血肌酐轻度升高；肾功能在15天内恢复正常。所有5例患者在主动脉修复术后6个月至11年肾功能均正常。本系列研究结果表明，只要采用适当的手术技术，在主动脉手术期间无需对移植肾进行保护。本文详细描述了这种技术。它的应用简化了此类病变的外科治疗，避免了之前发表的7例病例中所采用的复杂手术步骤。
