Pancreas-kidney transplantation: what every radiologist should know

Abstract Pancreas transplantation is a well-established treatment for patients with complicated diabetes mellitus and advanced renal failure. The most common procedure is simultaneous pancreas-kidney transplantation, in which the pancreas graft is positioned in the right pelvic region and the kidney graft is positioned in the left iliac fossa. Various imaging methods are used for the post-transplantation evaluation of the graft parenchyma and vascular anatomy, as well as for the identification of possible complications. As the number of cases increases, it is fundamental that radiologists understand the surgical procedure and the postoperative anatomy, as well as to recognize the possible postoperative complications and their imaging aspects, with the aim of providing the best guidance in the postoperative management of transplant recipients.

摘要 胰腺移植是治疗复杂性糖尿病合并晚期肾衰竭患者的成熟可靠治疗手段。临床最常用的术式为胰肾联合移植，术中将胰腺移植物置于右侧盆腔，肾脏移植物置于左髂窝。临床常采用多种影像学检查方法评估移植术后移植物实质与血管解剖结构，并检出可能发生的并发症。随着手术病例数的增加，放射科医师需充分掌握该手术的操作流程与术后解剖特点，识别各类术后并发症及其影像学表现，从而为移植受者的术后管理提供最优指导。