Emergency cadaveric donor en bloc nephrectomy by in-corpora perfusion technique

Area of Science:

• Nephrology
• Transplant Surgery
• Vascular Surgery

Background:

• Donor nephrectomy is critical for kidney transplantation.
• Minimizing warm ischemic time is crucial for graft survival.
• Accessory renal arteries and pediatric vessels present surgical challenges.

Purpose of the Study:

• To describe a new donor nephrectomy technique using in-corpora perfusion.
• To highlight the benefits of this technique for organ preservation and surgical accessibility.

Main Methods:

• A rapid and safe donor nephrectomy procedure was developed.
• In-corpora perfusion was utilized during the nephrectomy process.

Main Results:

• The technique effectively minimizes warm ischemic time.
• Damage to accessory renal arteries is avoided.
• Aortic cuffs are provided for small pediatric donor renal arteries.

Conclusions:

• In-corpora perfusion is a valuable technique for donor nephrectomy.
• This method enhances the quality and usability of donor kidneys, particularly for pediatric recipients.