中国胰肾联合移植现状

1、中国胰肾联合移植现状2中国胰肾联合移植现状一适应证、外科技术和结果明长生腺外11112涇、破了肾联合移植的适应证|2ilfi泌植丿1=1o口i=_ 一病接受胰飓 势。UNOS资料显示，2000-2004中国糖尿iMO中MB!R作者单位：300）武汉，华中禅大学同济医学院附凤同济医院器官移植研克所教育册卫生部器官移柚国家更点实站34移2歐血锚i_ _ _iltf I:后舅发生心脑血鶴 二、胰肾联合移植的外科技术1.供体器官的切取与修整 插管，用咫瘻灌洼羞整卑切熬肾脏I.注意切取双侧发症。总动血管。菖采用腹 爲釁昇 逼辰结葩胆总匚注下 血管。蹬(GIA-Stapler)或手工履 后紧靠胰崑切除脾脏

2、。供胰上痢矍裁谟切时,要3-5cmo口0切 瞒雀鼬樂、2.移植胰腺外分泌处理方式1966年Kell蠶lo 80排斥!F=IB56SMBl血劎須sp矍v-.zs?九八三l&ZNb.A A:F受昴绷円69lm69lm ,6,6bukko ！oi榮1 i68肠至流杂H7辭畅引流加；小0( PVD)式。PVD? 一 一严常閱糠席魏鮒痂45 % (P96%症再次手术,(6%) 概,羈3和98%。率严酪5.明八亠. 处理亠中4.12志.2008,29:47-48齣罗卜義术及I2007,45:326-330.137. Kelly WD，Lillehei RC，Merkel FK，et al.Allo

3、transplantation of the pancreas and duodenumalong with the kidney in diabetic nephropathy.Surgery, 1967, 61:827 & Sollinger HW, Odorico JS，Knechtle SJ，et al.Experience with 500 simultaneous pancreas-kidneytransplants. Ann Surg 1998; 228: 2842969. Blanchet P，Droupy S，Eschwege P，et al. Urodynamict

4、esting predicts long-term urological complicationfollowingsimultaneouspancreas-kidneytransplantation. Clin Transplant, 2003,17:26-31.10 Black P，Plaskon LA, Miller J9et aL Cystoentericconversion and reduction cystoplasty for treatment ofbladder dysfunction after pancreas transplantation Transn遞12.张 t

5、13.2001,22:810.14二lantation, 2003,170:1913-1917因界乙等 胰肾联合移植术：附19国普通外科杂志，2005. 14:370-373鯉连裁，等胰督联合移植15例报亍移植杂志.2007床鑼爲5勲:195-198wy2000, 21:177-179.15 Philosophe B，Farney AC，Schweitzer EJ，et al.Superiority of portal venous drainage over systemicvenous drainage in pancreas transplantation: aretrospective

6、 study. Ann Surg, 2001，234:689-696.16. Philosophe B. Portal versus systemic delivery ofinsulin:immunologic benefits for pancreastransplantation. Current Opinion in OrganTransplantation, 2002, 7:180-184.17. Stratta RJ，Rohr MS，Adams PL，et al. Kidney andpancreas transplantation at Wake Forest Universit

7、yBaptist Medical Center. Clin Transplant,2003:229-245.18 Petruzzo P，Konan P G，Feitosa LC，et al. A1415randomized trial simultaneous pancreas-kidneytransplantation: Portal versus systemical venousdrainage of the pancreas allograft Transplant Proc，2000, 32:2776 19 Demartines N，Schiesser M and Clavien PA Anevidence-based analysis of simultaneouspancreas-kidney and pancreas transplantation alone.22 Drognitz O，Benz S，Pfeffer F，et al. Long-TermFollow-Up of 78 Simultaneous Pancreas-KidneyTransplants at a Single-Center Institution in Europe.Transplantation, 2004, 78:1802-1808.A