Silberman H, Fitzgibbons T J, Butler J, Berne T V
Arch Surg. 1980 Jan;115(1):42-3. doi: 10.1001/archsurg.1980.01380010034006.
Twenty-four renal allografts functioning up to six years from the date of transplantation were retained in situ from four days to five years following return of the patient to hemodialysis. Fifteen of the 24 kidneys were removed for specific indications within four days to ten months. The reasons for allograft nephrectomy included fever, hematuria, graft pain and tenderness, and severe hypertension. Nine patients remained asymptomatic with grafts retained three months to five years (median, two years) following return to hemodialysis. It appears safe to retain nonfunctioning grafts in asymptomatic patients, thereby avoiding an unnecessary operation when failure is due to chronic rejection or recurrent glomerulonephritis. Nevertheless, in many patients complications eventually develop for which the allograft will be removed.
24例肾移植受者在移植后肾功能良好达6年，在患者恢复血液透析后4天至5年内将移植肾原位保留。24例中有15例在4天至10个月内因特定指征而切除移植肾。移植肾切除的原因包括发热、血尿、移植肾疼痛和压痛以及严重高血压。9例患者在恢复血液透析后3个月至5年（中位时间为2年）内移植肾保留且无症状。在无症状患者中保留无功能的移植肾似乎是安全的，从而在移植肾因慢性排斥或复发性肾小球肾炎而功能衰竭时避免不必要的手术。然而，许多患者最终会出现并发症，届时移植肾将被切除。
