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En bloc transplantation of horseshoe kidney in Korea
Jun Bae Bang1, Jae Myeong Lee1, Chang-Kwon Oh1
1Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Insights
En bloc transplantation of horseshoe kidneys is a successful surgical strategy for end-stage renal disease patients. This method offers favorable outcomes and good graft function with no severe complications observed post-transplant.
Area of Science:
- Nephrology
- Transplant Surgery
- Urology
Background:
- Horseshoe kidney transplantation presents unique surgical challenges due to anatomical variations.
- Surgical strategies include en bloc or split grafts, depending on vascular anomalies and collecting system presence.
Abstract:
Transplantation of the horseshoe kidney can be performed en bloc or split into 2 grafts according to the vascular anomaly and the existence of the urinary collecting system in isthmus. From 2011 to 2014, there were 3 horseshoe kidney transplantations in Korea and transplantations were performed at 2 different centers. The transplantations were carried out successfully for all recipients without complications. All recipients have shown good graft kidney function after transplantation. No severe complication was revealed during follow-up period. We described the surgical technique used in the en bloc method to overcome various vascular anomalies and difficulties in choosing cannulation site and postoperative complications. En bloc transplantation of a horseshoe kidney is a useful strategy for patients with end-stage renal disease, and can provide favorable outcomes compared to the transplantation of a normal kidney.
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