成功重新使用經移植九年後的移植腎—個案報告
何宣瑩1 廖建華1 田宇峰2 陳明鎮3
奇美醫學中心 外科部 泌尿科1 移植外科2 一般外科3
Successful reuse of a renal graft 9 years after initial transplantation – a case report
Hsuan-Ying Ho1, Alex Chien-Hwa Liao1, Yu-Feng Tian2, Ming-Jenn Chen3
Division of Urology1, Division of Transplantation Surgery2, Department of General Surgery3, Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan
Background: Kidney transplantation is still the choice of renal replacement therapy for patients with end-stage renal disease (ESRD). However, shortage of organ is still the problem worldwide. In 1993, Amado et al. reported the first case of successful reuse of a transplanted kidney. After that, only few cases report were found at English literatures.
Herein, we report out experience of successful reuse of a renal graft 8 years after initial transplantation.
Case report: The first donor was a 40-year-old man with brain death due to intracranial hemorrhage after a traffic accident. The first recipient was a 45-year-old man and received transplantation in 2005. The immunosuppressant drugs were cyclosporine, everolimus, mycophenolate mofetil, and prednisolone.
In June 2014, the first recipient suffered from right cerebral aneurysm rupture and caused brain death. Serum creatinine level was 0.69 mg/dL. We harvested the transplanted kidney for reuse transplantation. The second recipient was a 40-year-old man who received hemodialysis for 5 years. The post-operative cause was uneventful and serum creatinine down to 1.17mg/dL.
Conclusion: Our case received refuse of transplanted kidney after 9 years after first transplantation. To our knowledge, this is probable the longest reuse of orange after first transplantation. In our experience, if the transplanted organ has good function, it could be still reuse years after transplantation.