Right renal vein elongation with the inferior vena cava for cadaveric kidney transplants: an old neglected surgical approach

Right renal vein elongation with the inferior vena cava for cadaveric kidney transplants: an old neglected surgical approach

Author Baptista-Silva, José Carlos Costa Autor UNIFESP Google Scholar
Pestana, Jose Osmar Medina Autor UNIFESP Google Scholar
Veríssimo, Marcos José Martins Autor UNIFESP Google Scholar
Castro, Marcos J. Autor UNIFESP Google Scholar
Demuner, Maris Salete Autor UNIFESP Google Scholar
Signorelli, Marcio Fernando Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract INTRODUCTION: Short right renal vein is a frequent and well-known technical inconvenience that is commonly observed during transplantation of the right kidney. We present our experience with the elongation of short cadaveric right renal veins using the contiguous vena cava during cadaveric renal transplants. METHODS: We performed 34 kidney transplantations with a short right renal vein requiring elongation using the inferior vena cava, to make the venous anastomosis technically feasible. The elongated right renal vein was anastomosed end to side to the external iliac vein in 24 patients, to the common iliac vein in 8 patients and to the inferior vena cava in 2 patients. The right renal artery with an aortic patch was implanted end to side in 33 patients, and end to end without aortic patch to the internal iliac artery in one patient. RESULTS: In all cases, the vascular anastomoses were easily performed in the recipient and no thrombosis was observed. CONCLUSION: Elongation of a short right renal vein with the inferior vena cava is a feasible mean to overcome technical problems that may compromise the results of cadaveric renal transplantation.
Keywords kidney transplantation
donors
cadaver
renal veins
inferior vena cava
Language English
Date 2005-12-01
Published in International braz j urol. Sociedade Brasileira de Urologia, v. 31, n. 6, p. 519-525, 2005.
ISSN 1677-5538 (Sherpa/Romeo)
Publisher Sociedade Brasileira de Urologia
Extent 519-525
Origin http://dx.doi.org/10.1590/S1677-55382005000600002
Access rights Open access Open Access
Type Article
SciELO ID S1677-55382005000600002 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/2755

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