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Single Port Donor Nephrectomy
Published on: March 12, 2011
Retroperitoneoscopic left donor nephrectomy with duplicated IVC
S J Rizvi1, T Krishna Prasad, P R Modi
1Department of Urology and Transplantation, Institute of Kidney Diseases and Research Centre, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.
Indian Journal of Nephrology
|February 27, 2013
Summary
A duplicated inferior vena cava (IVC) does not preclude retroperitoneoscopic live donor nephrectomy. This surgical approach is feasible and safe for donors with this common vascular anomaly.
Area of Science:
- Nephrology
- Vascular Surgery
- Minimally Invasive Surgery
Background:
- Live donor nephrectomy is crucial for kidney transplantation.
- Vascular anomalies, such as duplicated inferior vena cava (IVC), can complicate standard surgical procedures.
- Minimally invasive techniques are increasingly preferred for donor nephrectomy.
Observation:
- A case of left-sided retroperitoneoscopic live donor nephrectomy in a donor with a duplicated IVC is presented.
- Preoperative computed tomography angiography accurately mapped the anomalous venous anatomy.
- The duplicated IVC was successfully managed by clipping and dividing it below the left renal vein confluence.
Findings:
- The retroperitoneoscopic approach was technically successful.
- The left renal vein had adequate length for recipient anastomosis.
- The recipient showed good graft function with a serum creatinine of 1.21% on postoperative day 7.
- The donor experienced an uneventful recovery.
Implications:
- Duplicated IVC should not be considered an absolute contraindication for left retroperitoneoscopic donor nephrectomy.
- Accurate preoperative imaging is essential for planning complex donor nephrectomies.
- Minimally invasive techniques can be safely applied to donors with common vascular variations, expanding donor pool options.
