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首页> 外文期刊>Transplantation Proceedings >A novel technique for reconstruction of multiple renal arteries in live donor kidney transplantation: A case report and literature review
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A novel technique for reconstruction of multiple renal arteries in live donor kidney transplantation: A case report and literature review

机译：活体供肾移植中重建多条肾动脉的新技术：一例报道并文献复习

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Background: Reconstruction for three renal arteries from a living donor becomes a real challenge as the limited material can be used when compared with diseased donors. Therefore, in this report we introduce a novel technique by using the gonadal vein as a Carrel patch for reconstruction with three renal arteries. The other techniques will also be reviewed in this report. Methods: The living donor is a 51-year-old woman with three renal arteries on the left side and one renal artery on the right side, but with early branching 15 mm from the origin. The recipient is her husband, a 56-year-old with end-stage kidney disease secondary to type II diabetes. A left laparoscopic donor nephrectomy was performed successfully. The three renal arteries were anastomosed to the gonadal vein patch in a parallel fashion. Thereafter, the gonadal vein patch was anastomosed to the side of external iliac artery. The renal vein was anastomosed to the side of external iliac vein. Results: The kidney was reperfused rapidly and uniformly. The kidney functioned immediately. Doppler ultrasound and renal nuclear scans revealed that the perfusion of the kidney was normal. The creatinine level was 158 umol/L at day 7 and stable at 140 umol/L during the 2-month follow-up examination. Conclusions: The gonadal vein can be used as a Carrel patch for multiple renal artery reconstruction, in particular, for more than two renal arteries. This technique provides a new approach for the reconstruction of multiple renal arteries in living donor kidney transplantations.
机译：背景：从活体供体重建三个肾动脉成为一个真正的挑战，因为与患病的供体相比，可以使用的材料有限。因此，在本报告中，我们介绍了一种使用性腺静脉作为Carrel贴片的新技术，用于重建三个肾动脉。其他技术也将在本报告中进行回顾。方法：活体捐献者是一名51岁的女性，左侧有3条肾动脉，右侧有1条肾动脉，但距原点15毫米的早期分支。接受者是她的丈夫，今年56岁，患有II型糖尿病继发的终末期肾脏疾病。成功进行了左腹腔镜供体肾切除术。将三个肾动脉以平行方式吻合到性腺静脉斑块上。此后，将性腺静脉贴片吻合到外动脉一侧。肾静脉吻合在external外静脉一侧。结果：肾脏被快速，均匀地再灌注。肾脏立即起作用。多普勒超声和肾核扫描显示肾脏的灌注正常。肌酐水平在第7天为158 umol / L，并在2个月的随访检查中稳定在140 umol / L。结论：性腺静脉可作为Carrel贴片用于多条肾动脉重建，尤其是两个以上的肾动脉。该技术为活体供体肾脏移植中多条肾动脉的重建提供了一种新方法。

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