Descotes J L, Voirin L, Bayle F, Rambeaud J J, Faure G
CHU de Grenoble, Service d'Urologie.
Prog Urol. 1993 Aug-Sep;3(4):627-36.
Nephrectomy of a non-functioning renal transplant after renal transplantation is a delicate operation which the authors evaluate on the basis of a retrospective analysis of 62 patients. A review of the literature helps to more clearly define the indications, optimal time of the operation and the operative technique. A subcapsular approach, by simplifying the operation, constitutes an important factor in reducing the operative morbidity in the late forms. "Early" transplantectomies are often more serious because of the recently operated patient's fragile status and immunosuppression, responsible for frequent infectious complications. Transplantectomy should therefore not be delayed once the permanent loss of transplant function has been confirmed.
肾移植后无功能肾移植肾切除术是一项精细的手术，作者基于对62例患者的回顾性分析对其进行了评估。文献回顾有助于更明确地界定手术指征、最佳手术时机及手术技术。经包膜下途径通过简化手术，是降低晚期病例手术发病率的一个重要因素。“早期”移植肾切除术往往更为棘手，因为近期接受手术的患者状态脆弱且处于免疫抑制状态，易引发频繁的感染并发症。因此，一旦确认移植肾永久丧失功能，就不应延迟移植肾切除术。
