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소아 양측 신장과 방광벽을 이용한 성인 신장이식

Title
소아 양측 신장과 방광벽을 이용한 성인 신장이식
Other Titles
Adult Kidney Transplantation of Pediatric En bloc Kidneys Using a Partial Bladder Wall
Authors
송승환;이주한;허규하;김유선;한웅규
Issue Date
2015
Journal Title
Journal of the Korean Society for Transplantation (대한이식학회지)
ISSN
1598-1711
Citation
Journal of the Korean Society for Transplantation (대한이식학회지), Vol.29(3) : 170~174, 2015
Abstract
Kidney transplantation is a treatment of choice which improves survival and quality of life for patients with end-stage renal disease. Due to the growing waiting list for kidney transplantation, expansion of the donor pool to use of deceased pediatric kidneys is of critical importance. However, the use of pediatric kidneys has been limited due to concerns about early graft failure, hyperfiltration injury, and technical difficulties. Performing ureteroneocystostomy using small pediatric en bloc kidneys is sometimes difficult due to the small diameter and short length of the ureter in the adult kidney recipient. We hereby report on a partial bladder wall transplantation using pediatric en bloc kidneys. Pediatric en bloc kidneys and partial bladder wall from a 12-month-old female donor who weighed 9.13 kg was transplanted into a 49-year-old male recipient. The urinary tract was reconstructed with a partial bladder wall of the donor. At 12 months post-transplantation, Doppler ultrasonograpy and renogram showed stable graft renal function without urological complications. Pediatric en bloc kidney transplantation with a partial bladder wall can be a safe and feasible surgical technique to reduce urological complications.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/141536
DOI
10.4285/jkstn.2015.29.3.170
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Urology
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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