累及髂窝的巨大多囊肝多囊肾患者的肝肾联合移植1例  

Combined liver-kidney transplantation for giant polycystic liver and polycystic kidney involving iliac fossa:one case report

作　　者：刘龙山[1] 张纹彬 鞠卫强[1] 陈茂根[1] 韦勇成 何映蓁 李军[1] 王长希[1] 何晓顺[1] Liu Longshan;Zhang Wenbin;Ju Weiqiang;Chen Maogen;Wei Yongcheng;He yingzhen;Li Jun;Wang Changxi;He Xiaoshun(Organ Transplant Center,First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院器官移植中心,广州510080

出　　处：《中华器官移植杂志》2024年第10期728-728,F0003,共2页Chinese Journal of Organ Transplantation

基　　金：广州市临床重大技术项目(2023P-ZD15)。

摘　　要：本文报道1例累及髂窝的巨大多囊肝多囊肾患者的肝肾联合移植。术前CT影像提示多囊肾体积大占据部分髂窝空间,拟行原肾脏下极去顶减压术以摆放移植肾。经"全肝切除+原位肝移植"后,发现右侧多囊肾可自行上移,释放了髂窝空间顺利放置移植肾,术后多囊肾明显缩小。该病例为此类疾病的肝肾联合移植手术方案提供了一定参考。This report described one patient of giant polycystic liver and polycystic kidney involving iliac fossa.Preoperative computed tomography(CT)revealed a large polycystic kidney occupying partially iliac fossa space.A decompression of lower pole of original kidney was planned for placing transplanted kidney.During total liver resection plus orthotopic liver transplantation,right polycystic kidney could move up on its own and iliac fossa space was released for placing transplanted kidney smoothly.Polycystic kidney shrunk markedly post-operation.It provided references for surgical planning of combined liver-kidney transplantation for this type of disease.

关 键 词：多囊肝 多囊肾 肝肾联合移植 肝移植 肾移植 

分 类 号：R699.2[医药卫生—泌尿科学] R657.3[医药卫生—外科学]