Dual kidney transplantation: A case report
Böbrek transplantasyonu programlarındaki giderek artan organ ihtiyacı ve canlı akraba donörlerin bu ihtiyacı karşılamadaki yetersizliği, marjinal donörler de dahil, mümkün olan tüm kaynakların kullanılmasını gündeme getirmektedir. Pediatrik kadavra donörlerden ikili böbrek transplantasyonu da bu marjinal olarak kabul edilen organların bir kullanım yoludur. Çalışmamızda beyin ölümü tanısı sonrası organları bağışlanan 5 yaşındaki bir çocuğun böbreklerinin en blok teknikle 27 yaşında bir erişkine transplante edilmesi anlatılmaktadır. Böbrek, transplantasyon sonrası hemen fonksiyon göstermiş ve hasta 0.7 mg/dl serum kreatin düzeyi ile sorunsuz olarak taburcu edilmiştir.
İkili böbrek transplantasyonu: Bir vaka takdimi
The large need for organs in renal transplantation programs and the insufftcience of living related donation lead us to evaluate every cadeveric organ available from marginal donors. Dual kidney transplantation is one way of using these marginal donors. We present a case of a five-year-old boy with brain death whose organs were harvested and both kidneys transplanted via an en bloc technique to a 27-year-old male patient. The kidneys functioned immediately after transplantation and the patient was discharged with a creatinine level of 0.7mg/dl.
___
- 1. Khauli RB. Surgical aspects of renal transplantation: New approaches. The Urologie Clinics of North America 1994; 21: 321-341.
- 2. Kahan B. Selection and operative approaches for cadaveric and living donors. In.Kahan B, Ponticelli C. (eds) Principles and practice of renal transplantation. 1st ed. London, Martin Dunitz Ltd., 2000 : 145-190.
- 3. Remuzzi G, Grinyo J, Ruggenetti P, Beatini M, Cole EH, Milford EL, Brenner BM. Early experience with dual kidney transplantation in adults using expanded donor criteria. J Am Soc Nephr 1999; 10 : 2591-2598.
- 4. Carter JT, Lee CM, Weinstein RJ, Lu AD, Dafoe DC, Alfrey EJ. Evaluation of older cadaveric kidney donor: The impact of donor hypertension and creatinine clearance on graft performance and survival. Transplantation 2000; 70: 765-771.
- 5. Jerius JT, Taylor RJ, Murillo D, Leone JP. Double renal transplants from marginal donors: 2 years results. J Urol 2000; 163: 423-425.
- 6. Dietl KH, Wolters H, Marschall B, Senninger N, Heidenreich S. Cadaveric "Two in one" kidney transplantation from marginal donors : Experience of 26 cases after 3 years. Transplantation 2000; 70: 790-794.
- 7. Andres A, Morales JM, Herrero JC, Praga M, Morales E, Hernandez E, Ortuna T, Rodicio JL, Martinez MA Usera G, Diaz R, Polo G, Aguirre F, Leiva O. Double versus single renal allografts from aged donors. Transplantation 2000; 69: 2060-2066.
- 8. Heaf JG, Ladefoged J. The effect of acute rejection on long-term renal graft survival is mainly related to initial renal damage. Transplant Int 1998; ll(Sup. 1): 26-31.
- 9. Sanches-Fructuaso AI, Prats D, Miques M, Perez-Contin MJ, Fernandez-Perez C, Contreras E, Blanco J, Barrientas A. Does renal mass exert an independent effect on the determinants of antigen-dependent injury? Transplantation 2001; 71: 381-386.