Success Rate of Grafts With Multiple Renal Vessels in 3136 Kidney Transplants

Karakaya, Emre; Akdur, Aydıncan; Soy, Ebru H. Ayvazoglu; Moray, Gökhan; Haberal, Mehmet

doi:10.6002/ect.2020.0339

Cited by 1 publication

(3 citation statements)

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“…Kidney transplantation is the best treatment of choice for pediatric patients with ESKD 9 . Novel surgical techniques, immunotherapy regimens, and antimicrobial agents have enhanced pediatric transplant outcomes 10–12 . Living donor kidney transplantation has helped shorten waiting times on the deceased donor kidney transplant waitlist and has also been shown to provide better graft survival outcomes when compared to deceased donor kidney transplantation 13 .…”

Section: Discussionmentioning

confidence: 99%

“…9 Novel surgical techniques, immunotherapy regimens, and antimicrobial agents have enhanced pediatric transplant outcomes. [10][11][12] Living donor kidney transplantation has helped shorten waiting times on the deceased donor kidney transplant waitlist and has also been shown to provide better graft survival outcomes when compared to deceased donor kidney transplantation. 13 Many potential living donor kidneys are rejected due to anatomical or surgical reasons.…”

Section: Discussionmentioning

confidence: 99%

“…16 Although multiple vessel kidneys have historically been a limitation for renal transplantation, recent studies show that augmented anastomosis surgery time or ischemia time in multiple renal vessel kidney procedures has no considerable effect on graft function and graft survival in the long term. 10 Supernumerary renal veins are relatively common anatomical abnormalities defined as the existence F I G U R E 2 Back table vascular venous reconstruction utilizing complete deceased iliac vein system (common iliac vein with both external and internal veins) to extend the two renal veins.…”

Section: Discussionmentioning

confidence: 99%

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Venous vascular reconstruction of a robotically procured right kidney with two renal veins transplanted into a pediatric recipient

Lledo,

Tabbara,

Alvarez

et al. 2023

Pediatric Transplantation

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BackgroundRight versus left kidney donor nephrectomy remains a controversial topic in renal transplantation given the increased incidence of right kidney vascular anomalies and associated venous thrombosis. We present the case of a 3‐year‐old pediatric recipient with urethral atresia and end‐stage kidney disease who received a robotically procured living donor right pelvic kidney with two short same‐size renal veins and a short ureter.MethodsWe utilized a completely deceased iliac vein system (common iliac vein with both external and internal veins) to extend the two renal veins. Due to the distance between both renal veins, the external iliac vein was anastomosed to the upper hilum renal vein, and the internal iliac vein was anastomosed to the lower hilum renal vein. The donor's short ureter was anastomosed to the recipient's ureter end‐to‐side.ResultsThe patient had immediate graft function and there were no post‐operative complications. Renal ultrasound was unremarkable at 48 hours post‐transplant. Serum creatinine was 0.5 mg/dL at 3 months post‐transplant.ConclusionWe demonstrate the successful transplantation of a robotically procured right pelvic donor kidney with two short renal veins using a deceased donor iliac vein system for venous reconstruction without increasing technical complications. This technique of venous reconstruction can be used in right kidneys with similar anatomical variations without affecting graft function.

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Section: Discussionmentioning

confidence: 99%