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Successful Kidney Transplantation Using Paired Cadaver Kidneys Procured from a 6-month-old Brain Death Infant

成功取用六個月大腦死嬰兒成對屍腎之腎臟移植:病例報告

摘要


我們報告一例成功的經驗將一位6個月大的腦死嬰兒雙側腎臟一併取下移植到一位16歲,42公斤的年輕女性身上。這對屍腎左右大小僅為5.0公分及4.5公分。手術後至今20個月,移植的腎臟功能良好且增大為11.1公分及10.1公分。追蹤檢查結果,並無滲尿、腎水腫、血管或輸尿管吻合處狹窄等手術併發症的產生。雙側腎臟一併移植手術,的確降低了小嬰兒血管吻合的困難度進而減少了血栓、吻合處狹窄可能性。這使我們更有信心取用6個月大甚至更小的寶貴屍腎來做腎臟移植手術。

並列摘要


We report on a successful experience of procuring and transplanting en bloc paired cadaver kidneys (sized 5.0 cm and 4.5 cm) from a 6-month-old brain dead infant. The transplant recipient was a 16-year-old female adolescent weighing 42 kg who had good graft survival of 2 years since then. The follow-up ultrasonographys showed no evidence of hydronephrosis, urine leakage or stenotic anastomosis, but did show the graft kidneys growing to 11.1 cm and 10.1 cm by the l5(superscript th) postoperative month. En bloc pediatric kidney transplantation could decrease the difficulty in vascular anastomosis as well as the possibility of postoperative complications such as vasospasm, renal vein thrombosis and subsequent anastomosis stricture.

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