China News Service, August 24th (Reporter Chen Jing) It is not a fantasy to cut off the damaged kidney, repair it, and then re-transplant it into the patient.

The reporter learned on the 24th that the Department of Urology, Renji Hospital, Shanghai Jiaotong University School of Medicine, successfully completed an autologous kidney transplantation for a 44-year-old man whose left renal function was damaged due to a car accident. The patient recovered his kidney function while getting rid of the previous fistula. Coming troubles.

  It is understood that the technology of autologous kidney transplantation places extremely high demands on the team of doctors, and currently only a few hospitals in China can perform such operations.

  The patient, Mr. Han (pseudonym), suffered a pelvic fracture and a rupture of the upper part of the left ureter due to a traffic accident trauma. The ureteral injury caused hydrops in the kidneys.

In order to drain urine from the left kidney, Mr. Han performed a left kidney puncture and fistula, but it caused great inconvenience to daily life.

In order to improve the quality of life, Mr. Han went to many hospitals, and the doctors said that repairing is very difficult, and the left renal fistula may take a lifetime.

In the end, Mr. Han came to Renji Hospital's Urology Department for treatment and asked for help from Professor Xue Wei, Vice President and Director of Urology Department of Renji Hospital.

  Under the leadership of Professor Xue Wei, a team of experts from multiple sub-specialties in the Department of Urology conducted a comprehensive, accurate and detailed preoperative examination and condition analysis, and carefully designed the surgical plan for autologous kidney transplantation.

  Professor Xue Wei told reporters that during the 12-hour operation, the doctors cut off the left kidney and performed fine repairs in ice water. After some "exquisite work", the doctors transplanted the kidney to the patient's left lower abdomen. In the iliac fossa, the moment the vascular clamp was opened, the kidneys were filled with blood, and the kidneys began to urinate.

After an ultrasound examination, the transplanted kidney returned to normal blood supply, and the patient was discharged smoothly.

  Zhang Ming, deputy director of the Department of Urology and head of the kidney transplantation sub-specialty of Renji Hospital, introduced that in addition to ureteral defects caused by trauma, severe hypertension secondary to renal artery stenosis caused by various factors such as vascular development and vasculitis is also suitable for acceptance. Autologous kidney transplantation treatment.

  During the interview, the reporter learned that in the past, advanced age was regarded as a taboo for surgery.

However, experts at Renji Hospital try to explore and treat elderly cancer patients with multidisciplinary collaborative diagnosis and treatment (MDT).

A 93-year-old grandmother successfully underwent a left nephrectomy in the hospital, which relieved the problems of hematuria and anemia, and greatly improved the quality of life in her later years.

  The attending physician Chen Wei told reporters that the patient is an elderly person and there is a higher risk of surgery.

In order to ensure the safety of the operation, before the operation, the medical team conducted several case discussions in the department, and invited the anesthesiology department and the intensive care department for consultation, and formulated a thorough operation plan.

  Prof. Xue Wei said that as long as they undergo proper preoperative evaluation and precise perioperative management under multidisciplinary cooperation, elderly patients are not necessarily a “forbidden zone” for surgical treatment. They can also pass minimally invasive, precise surgery and follow-up personality. Chemical treatment achieved satisfactory results. (End)