Burgos F J, Rodríguez Luna J M, del Hoyo J, Lovaco Castellanos F
Servicio de Urologia, Hospital Ramón y Cajal, España.
Arch Esp Urol. 1993 Sep;46(7):627-31.
Renal transplant nephrectomy carries a high morbidity and mortality. Conceptually, graft removal by laparoscopy is a logical less invasive alternative. We have developed an experimental model for renal autotransplantation in the pig, with laparoscopic graft removal eight weeks following autotransplantation. Although the clinical indication for laparoscopic nephrectomy of a failed graft will provoke controversy, a nonfunctioning renal graft with intolerance and no rupture or infection late post-transplantation theoretically could be the indication for this procedure.
肾移植肾切除术具有较高的发病率和死亡率。从概念上讲，腹腔镜下移除移植物是一种合理的侵入性较小的替代方法。我们已经建立了猪肾自体移植的实验模型，在自体移植八周后通过腹腔镜移除移植物。尽管对于失败的移植物进行腹腔镜肾切除术的临床指征会引发争议，但理论上，移植后期出现不耐受且无破裂或感染的无功能肾移植物可能是该手术的指征。
