当没有指导从指导方针:脏移植在接受者与III类肥胖症的指导
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Updated: Jul 15, 2025

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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
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Hannah Gillespie1, Stephen O'Neill1, Rebecca M K Curtis2
1Regional Nephrology and Transplant Unit, Belfast City Hospital, Belfast, United Kingdom.
概括
对于患有III类肥胖症 (BMI ≥40 kg/m2) 的患者,脏移植是可能的,但存在风险. 仅仅肥胖不应该取消患者的资格,高人数的中心可能会改善结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植手术 移植手术
- 肥胖医学 肥胖医学
背景情况:
- 国际指导方针缺乏对末期脏病 (ESKD) 患者的建议,这些患者患有III类肥胖 (BMI ≥40 kg/m2).
- 脏移植是ESKD的最佳治疗方法,但严重肥胖患者的治疗方法尚不清楚.
研究的目的:
- 分析英国III类肥胖症患者仅进行移植的结果.
- 评估严重肥胖个体移植的可行性和风险.
- 评估移植中心体积对肥胖接受者的结果的影响.
主要方法:
- 对前性收集的英国数据 (2015-2021) 对成年人移植的分析.
- 移植参数的质疑,包括患者和移植的存活率.
- 详细分析了来自最多人数的移植中心的结果.
主要成果:
- 在22,845例移植中,只有44例 (0.2%) 是BMI≥40kg/m2.2的接受者.
- 规模最大的中心对20名严重肥胖患者进行了21次移植手术.
- 在这个队列中,患者的一年生存率为95%,死亡审查的移植存活率为85%.
结论:
- 在患有III类肥胖症的患者中,可以成功进行移植,尽管与增加的风险有关.
- 肥胖不应该是排除患者接受移植的唯一标准.
- 将重度肥胖患者的移植集中在高体积中心,可能会优化结果.
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