成人脑死亡后器官捐献双肾移植术2例并文献复习  

Dual kidney transplantation from brain death adult donors： two case reports and literature review

作　　者：彭风华[1] 彭龙开[1] 高陈[1] 陈靖靓 郭勇[1] 方春华[1] 聂曼华[1] Peng Fenghua Peng Longkai Cao Chen Chen Jingliang Guo Yong Fang Chunhua Nie Manhua(Department of Urological Organ Transplantation, Center of Organ Transplantation, the Second Xiangya Hospital of Central South University, Changsha 410011, China)

机构地区：[1]中南大学湘雅二医院器官移植中心泌外器官移植科,长沙410011

出　　处：《中国医师杂志》2017年第1期22-24,28,共4页Journal of Chinese Physician

摘　　要：目的探索成人边缘供肾双肾移植手术的指征及手术方式，提高对边缘供肾的利用。方法2对成人供肾经病理证实均为边缘供肾。两例受者均行右下腹切口，双肾移植于同侧腹膜外髂窝，2个输尿管分别与膀胱吻合。结果2例受者均出现移植肾延迟恢复，均出现急性排斥反应，抗排斥治疗及透析治疗后逆转。1例出现淋巴漏，无移植肾血栓形成，无尿漏发生。结论开展成人脑死亡后器官捐献（DBD）供肾双肾移植手术有利于提高对边缘供体的利用。Objective To explore the use of marginal kidneys from DBD （donation after brain death） donors and the indication for adult dual kidney transplantation. Methods Two pairs of graft kidneys were procured from two marginal adult donors. Dual kidney transplants were performed in two recipients. In each recipient, two kidneys were implanted in unilateral site of right lower quadrant and placed extraperito- neally, two separate extravesical ureterneocysto-anastomoses were performed. Results Delayed graft func- tion （DGF） combined with acute rejection occurred in two cases, and all two cases recovered after treat- ments. Lymphocele and hematoma occurred in one case. No graft embolism and no urinary leak happened. Conclusions Adult dual kidney transplant offers an important use of kidneys from marginal donors to in- crease the number of organs available for transplantation.

关 键 词：脑死亡 组织供者 肾移植 

分 类 号：R699.2[医药卫生—泌尿科学]