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目前,绝大多数肾移植是异位移植。尽管这种手术具有较高的成功率,但并不是一种理想的术式。本文报告了139例原位肾移植的结果和经验。 130例病人平均年龄36岁(11—67岁)。37例为尸体供肾,102例为亲属供肾。14例糖尿病患者同时做了胰段或全胰移植。所有病人术前均做了数字减影血管造影,以了解脾动脉的大小及形态。怀疑尿路有异常耆均做了逆行肾盂造影。手术方法右侧卧位取左腰部切口,切除12肋。切除左肾,肾动脉因、病变不能用于移植,保留肾静脉全长,用Fogarty管对肾静脉进行轻
At present, the vast majority of renal transplantation is heterotopic transplantation. Although this procedure has a high success rate, it is not an ideal procedure. This article reports the results and experience of 139 cases of orthotopic kidney transplantation. The average age of 130 patients was 36 years (11-67 years). 37 cases for the body donor kidney, 102 cases for relatives for the kidney. Fourteen patients with diabetes at the same time did pancreatic or pancreas transplantation. All patients were done before digital subtraction angiography to understand the size and shape of the splenic artery. Suspected urinary tract abnormalities were made retrograde pyelography. Right lateral supine surgical approach to take the left lumbar incision, removal of 12 ribs. Excision of the left kidney, renal artery due to lesions can not be used for transplantation, to retain the full length of the renal vein, the renal vein with Fogarty tube light