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[肾脏离体手术的适应症与结果]

[Indications and results of ex-vivo surgery of the kidney].

作者信息

Petritsch P H, Gruber H, Colombo T, Rauchenwald M, Breinl E, Ratschek M, Vilits P

机构信息

Universitätsklinik für Urologie, Graz.

出版信息

Wien Klin Wochenschr. 1995;107(23):731-5.

PMID:8560896
Abstract

394 renal transplantations have been performed in our unit between 1974 and 1995. In all instances extra-corporal surgical procedures on the graft, its vessels and, in rare instances, on the collecting system were necessary. The surgical procedures, which took up to 90 minutes on the work-bench, ranged from repair of minor iatrogenic vascular injuries to major vascular reconstructions, in order to facilitate the subsequent implantation of the graft. During the same period work-bench surgical procedures with subsequent autotransplantation were performed in 8 patients. The indication for such a procedure was a renal cell carcinoma in 2 patients with a solitary kidney and bilateral renal cell carcinoma in 1 patient, as well as renovascular disease (renal artery stenosis, aneurysm of the renal artery) in the remaining 5 cases.

摘要

1974年至1995年间,我们科室共进行了394例肾移植手术。在所有病例中,都需要对移植肾、其血管,以及极少数情况下对集合系统进行体外外科手术。这些手术在手术台上耗时长达90分钟,范围从轻微医源性血管损伤的修复到重大血管重建,以利于随后的移植肾植入。同期,8例患者进行了手术台上的外科手术并随后进行了自体移植。进行该手术的指征包括:2例单肾患者患有肾细胞癌,1例患者患有双侧肾细胞癌,其余5例为肾血管疾病(肾动脉狭窄、肾动脉瘤)。

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