In situ elongation patch in right kidney transplantation

Area of Science:

• Urology
• Transplant Surgery
• Vascular Surgery

Background:

• Short right renal veins pose challenges in kidney transplantation, complicating venous anastomosis.
• Traditional methods involve creating a venous duct from the vena cava during bench surgery.
• A modified technique using an
• elongation patch
• during harvesting is proposed.

Purpose of the Study:

• To evaluate the efficacy and safety of an
• elongation patch
• technique for managing short right renal veins during kidney transplantation.

Main Methods:

• The study involved 12 cases where vena cava elongation patches were created during organ harvesting.
• The patch was utilized in 8 transplantations due to short right renal veins.
• Four cases did not require the patch due to favorable recipient anatomy.

Main Results:

• All 8 transplantations using the elongation patch were successful, with no vascular complications.
• Venous anastomosis was straightforward to perform in these cases.
• The technique did not significantly increase organ harvesting time.

Conclusions:

• The
• elongation patch
• technique is a safe and effective method for addressing short right renal veins.
• Performing the patch during cold perfusion preserves anatomical relationships and allows for integrity checks.
• This approach reduces bench ischemia time and simplifies the anastomosis procedure.