腔静脉瓣漏斗状成形延长右肾静脉在肾移植中的应用

Lengthening the right renal vein by a v-shape excision of vena cava for kidney graft

目的 :介绍一种右肾静脉延长的方法 ,以解决右肾静脉移植难题。方法 :以腔静脉作延长材料 ,漏斗状修剪腔静脉瓣以延长右肾静脉 ,供肾移植之用。用此法共作 6例。结果 :6例均获一次成功。随访 1.5个月～ 1.5年 ,移植肾全部成活。结论 :漏斗状修剪腔静脉可延长右肾静脉 ,此法操作方法简便 ,可提高右肾利用率。

Purpose:To introduce a method of lengthening the right renal vein for kidney graft.Methods:A V-shaped excision of the neighbouring vena cava wall may lengthen a short rigth renal vein.Results:6 cases of patients have been done, and all obtained satisfactory outcome. Follow up for 1.5 month to 1.5 year, all 6 patients had their transplanted kidney function well.Conclusions:A V-shaped excision and sewing up the rest vena cava is a simple, effective measure for a short right renal vein during kidney transplantation.