Oh Young Ju, Lee Kyo Won, Park Jae Berm
Division of Transplantation, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Transplant. 2022 Jun 30;36(2):143-147. doi: 10.4285/kjt.21.0026. Epub 2022 Jan 10.
Dual Kidney Transplantation (DKT) has been developed to improve outcomes from transplantation based on extended criteria of donors (ECD) and demonstrated excellent short-term outcomes. We performed DKT at Samsung Medical Center in March 2021. The donor was a 74-year-old male with no history of known underlying diseases but died from traumatic subarachnoid hemorrhage. The recipient was a 72-year-old male who had been undergoing nephrological observation for 4 years prior to the kidney transplant. The patient had been on hemodialysis since July 2017 and had been suffering from type 2 diabetes since 2003. On non-contrast computed tomography, diffuse calcific atherosclerosis was observed in the abdominal aorta and left iliac artery. As a result, ipsilateral DKT was performed. Because of this diffuse calcific atherosclerosis, we planned ipsilateral DKT on the right side. Postoperative healing was uneventful without complications. In conclusion, DKT is an option for improving survival in the ECD pool, and ipsilateral DKT can be helpful option for preventing organ discard in ECDs.
双肾移植（DKT）已被开发出来，以改善基于扩大标准供体（ECD）的移植结果，并显示出优异的短期结果。我们于2021年3月在三星医疗中心进行了双肾移植。供体是一名74岁男性，无已知基础疾病史，但死于创伤性蛛网膜下腔出血。受体是一名72岁男性，在肾移植前已接受了4年的肾脏病观察。该患者自2017年7月开始进行血液透析，自2003年以来患有2型糖尿病。在非增强计算机断层扫描中，在腹主动脉和左髂动脉观察到弥漫性钙化性动脉粥样硬化。因此，进行了同侧双肾移植。由于这种弥漫性钙化性动脉粥样硬化，我们计划在右侧进行同侧双肾移植。术后愈合顺利，无并发症。总之，双肾移植是改善ECD供体库中患者生存率的一种选择，同侧双肾移植对于防止ECD供体器官被弃用可能是一种有用的选择。
