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.

abstractsObjective 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 extraperitoneally,two separate extravesical ureterneocysto-anastomoses were performed.Results Delayed graft function (DGF) combined with acute rejection occurred in two cases,and all two cases recovered after treatments.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 increase the number of organs available for transplantation.