Transplantation of en bloc pediatric kidneys with a partial bladder segment in an adult recipient

被引：13

作者：

Ciancio, Gaetano ^{[1
,2
,3
]}

Kato, Tomoaki ^{[1
]}

Chen, Linda ^{[1
,2
]}

Sageshima, Junichiro ^{[1
,2
]}

Livingstone, Alan S. ^{[1
]}

Burke, George W. ^{[1
,2
]}

机构：

[1] Univ Miami, Leonard M Miller Sch Med, Dept Surg, Miami, FL 33101 USA

[2] Univ Miami, Leonard M Miller Sch Med, Lillian Jean Kaplan Renal Transplant Ctr, Div Transplantat, Miami, FL 33101 USA

[3] Univ Miami, Leonard M Miller Sch Med, Dept Urol, Miami, FL 33101 USA

来源：

TRANSPLANT INTERNATIONAL | 2009年 / 22卷 / 03期

关键词：

bladder transplant; en bloc kidneys; pediatric kidneys; renal transplantation; DONOR KIDNEYS; 15; KG; LESS;

D O I：

10.1111/j.1432-2277.2008.00815.x

中图分类号：

R61 [外科手术学];

学科分类号：

100210 [外科学];

摘要：

The success of transplantation of the urinary bladder en bloc with pediatric kidneys remains undetermined. We transplanted a large portion of the bladder with en bloc kidney allografts from a 13-month-old donor into a 45-year-old adult male. The recipient, who was on long-term hemodialysis, had a small urinary bladder consistent with long-standing anuria. Informed consent was given and bilateral kidneys were transplanted en bloc with both ureters and bladder. The patient's bladder was augmented with the donor bladder and bilateral ureteroneocystotomies of small ureters was avoided. At 3 and 18 months post-transplantation, cystoscopies revealed a viable bladder with new vessels and normal donor bladder. Cystogram revealed no reflux. The bladder segment was reperfused via blood supply from both ureters and then from the recipient's bladder. It seems that bladder transplantation en bloc with pediatric kidneys is a viable option for augmentation of a small recipient bladder that allows avoidance of very small bilateral ureteroneocystotomies.

引用

页码：350 / 353

页数：4

共 12 条

[1]

Urodynamic evidence of successful rehabilitation of a severely contracted bladder after renal transplantation [J].