Sağ Pelvik Böbrekte Laparoskopik Donör Nefrektomi: Zorlu İkilem Olgusu

Abstract

Transplantasyon ve diyaliz son dönem böbrek yetmezliğinin temel tedavi seçenekleridir. Kalıcı çözüm sağlayan nakil işlemi kadavradan ve canlıdan olmak üzere iki farklı şekilde yapılabilir. Kadavradan nakil arzu edilen seçenek olsa da ülkemizde yapılan böbrek nakillerinin yaklaşık yüzde 70’i canlıdan yapılmaktadır. Canlıdan yapılan donör nefrektomilerde sağladığı avantajlar nedeniyle genellikle sol böbrek tercih edilir ve minimal invaziv yöntem olan laparoskopi kılavuzlarca önerilmekte ve cerrahlarca tercih edilmektedir. Bu çalışmamızda sağ pelvik yerleşimli ve kompleks renal vasküler yapısı olan ve 99mTc-Dimerkaptosüksinik asit sintigrafide fonksiyonu % 45 olması nedeniyle tercih edilen ve laparoskopik sağ pelvik donör nefrektomi yapılan olgu sunulmuştur.

Keywords

• Donör Nefrektomi
• Pelvik Böbrek
• Laparoskopi

Laparoscopic Donor Nephrectomy for a Right Pelvic Kidney: A Case Report of Challenging Dilemma

Abstract

Transplantation and dialysis are the main treatment options for end-stage renal failure. Transplant, which provides a permanent solution, can be done in two different ways: cadaver and living. Although transplantation from cadaver is the desired option, approximately 70 percent of kidney transplants in our country are made from live donors. In living donor nephrectomies, the left kidney is generally preferred due to its advantages, and laparoscopy, a minimally invasive method, is recommended by guides and is preferred by surgeons. In this study, we present a case with right pelvic location and complex renal vascular structure and preferred for laparoscopic right pelvic donor nephrectomy due to its function on 99mTc-Dimercaptosuccinic acid scintigraphy.

Keywords

• Donor Nephrectomy
• Laparoscopi
• Pelvic Kidney

References

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