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[Surgery ex situ in kidney transplantation]
G Benoit1, Y Hammoudi, J Bellamy
1Service d'Urologie, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Annales D'Urologie
|January 1, 1988
Summary
Renal vein elongation simplifies kidney transplants and lowers arterial stenosis risk. Arterial repairs for multiple arteries are reliable, improving donor kidney utilization in renal transplantation.
Area of Science:
- Vascular Surgery
- Transplant Surgery
- Nephrology
Context:
- Between 1982 and 1987, 534 renal transplantations were performed.
- 123 ex situ vascular surgical procedures were integral to these transplantations.
Purpose:
- To evaluate the impact of renal vein elongation on transplantation outcomes.
- To assess the reliability of arterial repair techniques for multi-arterial donor kidneys.
Summary:
- Elongating the renal vein facilitates kidney transplantation and significantly reduces the risk of arterial stenosis.
- Arterial repairs, particularly for kidneys with multiple arteries, are shown to be a reliable technique.
- Procurement of donor right kidneys with the infra-renal inferior vena cava is recommended when elongating the renal vein.
Impact:
- Improved surgical outcomes in renal transplantation.
- Enhanced utilization of donor kidneys, including those with complex arterial anatomy.
- Reduced complications such as arterial stenosis post-transplantation.