Vascular Variations and Anastomosis Techniques in Renal Transplant Donors
Öz
Purpose: We aimed to share our experience about vascular variations and anastomosis tecniques in renal transplant donors. Material and Methods: 128 donor nephrectomy performed in our hospital between February 2010 and June 2014 were included in our study. Donors were retrospectively analyzed according to age, sex, comorbidity, operation history, site of nephrectomy, vascular variation and anastomosis techniques. Results: 21 (%16,4) patients have left-sided, 19 (%14,8) have right-sided and 13 (%10,2) have bilateral vascular variation. 29 (%21,2) unilateral double renal artery, 8 (%6,3) unilateral double renal artery and vein, 4 (%3,2) unilateral triple renal artery, 3 (%2,4) early branching renal artery, 2 (%1,6) unilateral double renal vein and 2 (%1,6) polar artery are vascular variations observed. of 92 (%71,9) recepients anastomosis type was end to side between renal artery and external iliac artery and end to side between renal vein and external iliac vein, 32 (%25) end to end between renal artery and external iliac artery and end to side between renal vein and external iliac vein, 4 (%3,1) end to side between renal artery and external iliac artery and end to side between renal vein and external iliac vein and end to side between 2nd renal artery and external iliac artery. Conclusion: Preoperative evaluation of renal vasculature of transplant donors is an important issue in means of decreasing peroperative vascular complications and decision for nephrectomy site.
Anahtar Kelimeler
Kaynakça
- Tropman C, Wiesman K, McVicar JP, Wolfe BM, Perez RV. Increased transplantation of kidneys with multiple renal arteries in the laparoscopic live donor nephrectomy era: Surgical technique and surgical and nonsurgical donor and recipient outcomes. Arch Surg. 2001;136:897-907.
- Rydberg J, Kopecky KK, Tann M et al (2001) Evaluation of prospective living renal donors for laparoscopic nephrectomy with multisection CT: the marriage of minimally invasive imaging with minimally invasive surgery. RadioGraphics. 2001;21:223–36.
- Chabchoub K, Mhiri MN, Bahloul A, Fakhfakh S, Ben Hmida I, Hadj Slimen M et al. Does kidney transplantation with multiple arteries affect graft survival? Transplant Proc. 2011; 43:3423–3425.
- Yildirim M, Kucuk HF. Outcomes of renal transplantations with multiple vessels. Transplant Proc. 2011;43:816–8.
- Haberal M, Karakayali H, Bilgin N, Moray G, Arslan G, Büyükpamukçu N, Four-quadrant running-suture arterial transplantation: a preliminary report. Transplant Proc. 1996;28:2334-5. technique in renal
- Arévalo Pérez J, Gragera Torres F, Marín Toribio A,
- Koren Fernández L, Hayoun C, Daimiel Naranjo I. Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor. Insights Imaging. 2013;4:199-211.
- Giessing M, Kroencke TJ, Taupitz M et al. Gadolinium enhanced three-dimensional magnetic resonance angiography versus conventional digital subtraction angiography: which modality is superior in evaluating living kidney donors? Transplantation. 2003:76:1000.
- Sussman SK, Weinerth JL, Braun SD et al. Intravenous digital subtraction angiography in the evaluation of potential renal donors. J Urol. 1987;138:28.
- Rankin SC, Jan W, Koffman CG. Noninvasive imaging of living related kidney donors: evaluation with CT angiography and gadolinium-enhanced MR angiography. AJR Am J Roentgenol. 2001:177:349.
