Brewster D C, Darling R C
Ann Surg. 1979 Mar;189(3):353-8. doi: 10.1097/00000658-197903000-00017.
In properly selected patients, the benefits of renal artery reconstruction for renovascular hypertension have been clearly established. Disagreement remains, however, regarding the optimal technique. For most types of left-sided lesions, a splenorenal arterial anastomosis offers decided advantages. Only a single suture line is required and autogenous arterial tissue is employed. Difficulties with a diseased aorta are avoided. The procedure is particularly suitable for a staged approach to bilateral disease or in reoperation for failed prior reconstructions. Our experience with this procedure in 19 patients is reviewed and indications for selection of a splenorenal anastomosis are discussed. There were no deaths, and a single failure due to graft occlusion (5%). Of the remaining 18 patients, 7 are cured and 11 are improved. There were no instances of postoperative renal failure, and renal function improved in all four patients with preoperative renal failure. We conclude that in properly selected patients this procedure is of great usefulness and deserves wider application.
在经过恰当挑选的患者中，肾动脉重建术治疗肾血管性高血压的益处已得到明确证实。然而，关于最佳技术仍存在分歧。对于大多数类型的左侧病变，脾肾动脉吻合术具有明显优势。仅需一条缝合线，且使用的是自体动脉组织。避免了处理病变主动脉的困难。该手术特别适用于双侧疾病的分期治疗或对先前重建失败的再次手术。我们回顾了19例患者接受此手术的经验，并讨论了选择脾肾吻合术的指征。无死亡病例，仅有1例因移植物闭塞失败（5%）。其余18例患者中，7例治愈，11例病情改善。无术后肾衰竭病例，术前肾衰竭的4例患者肾功能均有改善。我们得出结论，在经过恰当挑选的患者中，该手术非常有用，值得更广泛应用。
