Simultaneous double adult kidney transplantation using single arterial and venous anastomoses

To provide optimal nephron mass, two adult kidneys can be transplanted into a single recipient.

All techniques described to date have been based on the sequential transplantation of each transplant in a separate iliac fossa. We report on an operative technique allowing the simultaneous transplantation of both kidneys into the same iliac fossa, with simultaneous revascularization through a single arterial and single venous anastomosis in 12 patients.

This technique reduces the surgical dissection, anesthesia exposure, and risk to elderly recipients and can be added to the armamentarium of the transplant surgeon.