EA201800249A1 - KIDNEY TRANSPLANTATION METHOD - Google Patents

KIDNEY TRANSPLANTATION METHOD

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Publication number
EA201800249A1
EA201800249A1 EA201800249A EA201800249A EA201800249A1 EA 201800249 A1 EA201800249 A1 EA 201800249A1 EA 201800249 A EA201800249 A EA 201800249A EA 201800249 A EA201800249 A EA 201800249A EA 201800249 A1 EA201800249 A1 EA 201800249A1
Authority
EA
Eurasian Patent Office
Prior art keywords
mini
access
iliac
kidney
surgical
Prior art date
Application number
EA201800249A
Other languages
Russian (ru)
Other versions
EA035811B1 (en
Inventor
Олег Валентинович Калачик
Иван Павлович Штурич
Сергей Владимирович Коротков
Виталий Иванович Германович
Original Assignee
Государственное учреждение "Минский научно-практический центр хирургии, трансплантологии и гематологии"
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Государственное учреждение "Минский научно-практический центр хирургии, трансплантологии и гематологии" filed Critical Государственное учреждение "Минский научно-практический центр хирургии, трансплантологии и гематологии"
Priority to EA201800249A priority Critical patent/EA035811B1/en
Publication of EA201800249A1 publication Critical patent/EA201800249A1/en
Publication of EA035811B1 publication Critical patent/EA035811B1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

Изобретение относится к медицине, а именно к трансплантационной хирургии, и представляет методику трансплантации почки из мини-доступа без использования хирургического дренажа. Задачей изобретения является профилактика начальных дисфункций почечного аллографта и снижение частоты ранних хирургических осложнений у реципиентов почки. Сущность изобретения заключается в следующем. Доступ в забрюшинное пространство обеспечивается из мини-разреза (длина 5-6 см) в подвздошной области. Выполняют мобилизацию участка подвздошных сосудов и верхушки мочевого пузыря, готовят ложе для аллографта почки между m. iliopsoas и передней брюшной стенкой. Почечный трансплантат укладывается в подготовленное ложе так, чтобы он был полностью скрыт в подвздошной ямке, а в зоне операционной раны располагались только почечная вена, артерия, которые из этого мини-доступа анастомозируются с мобилизованным на протяжении 3-4 см участком подвздошных сосудов. Изменяется последовательность наложения анастомозов: в первую очередь формируется артериальный, а затем венозный анастомоз. Следующий этап - выполнение уретеронеоцистоанастомоза с антирефлюксной защитой, который также выполняется из мини-доступа. Конечный этап операции - ушивание раны без хирургического дренажа, в котором нет необходимости из-за малотравматичности вмешательства.The invention relates to medicine, namely to transplant surgery, and presents a method of kidney transplantation from mini-access without the use of surgical drainage. The objective of the invention is the prevention of initial renal allograft dysfunctions and reducing the incidence of early surgical complications in kidney recipients. The invention consists in the following. Access to the retroperitoneal space is provided from a mini-incision (length 5-6 cm) in the iliac region. Mobilize the site of the iliac vessels and the top of the bladder, prepare a bed for an allograft of the kidney between m. iliopsoas and anterior abdominal wall. The renal transplant is placed in the prepared bed so that it is completely hidden in the iliac fossa, and in the area of the surgical wound there was only the renal vein, an artery, which from this mini-access was anastomosed with a portion of the iliac vessels mobilized for 3-4 cm. The sequence of application of anastomoses changes: first, an arterial and then venous anastomosis is formed. The next step is the implementation of ureteroneocystoanastomosis with antireflux protection, which is also performed from mini-access. The final stage of the operation is suturing the wound without surgical drainage, which is not necessary due to the low-invasiveness of the intervention.

EA201800249A 2018-03-28 2018-03-28 Renal transplantation method EA035811B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EA201800249A EA035811B1 (en) 2018-03-28 2018-03-28 Renal transplantation method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EA201800249A EA035811B1 (en) 2018-03-28 2018-03-28 Renal transplantation method

Publications (2)

Publication Number Publication Date
EA201800249A1 true EA201800249A1 (en) 2019-09-30
EA035811B1 EA035811B1 (en) 2020-08-14

Family

ID=68000183

Family Applications (1)

Application Number Title Priority Date Filing Date
EA201800249A EA035811B1 (en) 2018-03-28 2018-03-28 Renal transplantation method

Country Status (1)

Country Link
EA (1) EA035811B1 (en)

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2467708C1 (en) * 2011-06-30 2012-11-27 Государственное бюджетное учреждение здравоохранения Московской области "Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского" (ГБУЗ МО МОНИКИ им. М.Ф. Владимирского) Method of renal transplantation

Also Published As

Publication number Publication date
EA035811B1 (en) 2020-08-14

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Legal Events

Date Code Title Description
MM4A Lapse of a eurasian patent due to non-payment of renewal fees within the time limit in the following designated state(s)

Designated state(s): AM AZ BY KZ KG TJ TM RU