De Novo Techniques that Facilitate the Transplant of Short Right Allograft Kidney Vein as Left Allograft Kidney from Live Donor

Abstract

The Kidney transplant is preferred option for treatment of chronic renal failure because with this modality treatment the life quality of patient is like normal also this modality is cost effective. The left allograft is choice for transplant because the short right renal vein predisposes this allograft for more complication. We introduce methods, which facilitate the anastomosing the short right allograft vein and probably reduce the vascular complication. Methods: In 20 right allograft kidneys after irrigation, with dissection between vein and artery near the hilum at the back table, placing the allograft kidney with inversion position and external iliac artery selection and first vein anastomosing and heparin injection transplantation is carried out and all the recipients are treated with three drugs (prednisolone, cyclosporine cellcept) and follow up is conducted. Results: In these cases, with at least six months follow up, flow of the urine and circulation of blood were normal. Conclusion: With regarding the results it may be concluded that with this technique it may reduces the vessel complication and facilitates the vessel anastomosing of the right allograft kidney.

Share and Cite:

Zomorrodi, A. , Kakaei, F. and Zomorrodi, S. (2012) De Novo Techniques that Facilitate the Transplant of Short Right Allograft Kidney Vein as Left Allograft Kidney from Live Donor. Open Journal of Organ Transplant Surgery, 2, 5-7. doi: 10.4236/ojots.2012.22002.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] D. W. Gjertson, “Multifactorial Analysis of Renal Transplants Reported to the United Network for Organ Sharing Registry,” Clinical Transplantation, 1992, pp. 299-317.
[2] N. J. Feduska, Jr. and J. M. Cecka, “Donor Factors,” Clinical Transplantation, 1994, pp. 381-394.
[3] S.Hariharan, C. P. Johnson, B. A. Bresnahan, S. E. Tarnanto, M. J. McIntosh and D. Stablein, “Improved Graft Survival after Renal Transplantation in the United States, 1988 to 1996,” New England Journal of Medicine, Vol. 342, No. 9, 2000, pp. 605-612.
[4] P. J. Phelan, W.Shields, P. O’Kelly, M.Pendergrass, J. Holian, J. J. Walshe, C. Magee, D. Little, D. Hickey and P. J. Conlon, “Left versus Right Deceased Donor Renal Allograft Outcome,” Transplant International, 2009, Vol. 22, No. 12, pp. 1159-1163. doi:10.1111/j.1432-2277.2009.00933.x
[5] M. Salehipour, A. Bahador, H. Jalaeian, H. Salahi, S. Nikeghbalian, F. Khajehee and S. A. Malek-Hosseini, “Comparison of Right and Left Grafts in Renal Transplantation,” Saudi Journal of Kidney Diseases and Transplantation, Vol. 19, No. 2, 2008, pp. 222-226.
[6] D. W. Johnson, D. W. Mudge, M. O. Kaisar, S. B. Campbell, C. M. Hawley, N. M. Isbel, D. Wall, A. Griffin, J. Preston and D. L. Nicol, “Deceased Donor Renal Transplantation—Does Side Matter?” Nephrology Dialysis Transplantation, Vol. 21, No. 9, 2006, pp. 2583-2588. doi:10.1093/ndt/gfl268
[7] E. D. Brown, M. Y. Chen, N. T. Wolfffian, D. J. Ott and N. E. Watson, Jr., “Complications of Renal Transplantation: Evaluation with US and Radionuclide Imaging,” RadioGraphics, Vol. 20, No. 3, 2000, pp. 607-622.
[8] A. K. Mandal, C. Cohen, R. A. Montgomery, L. R. Kavoussi and L. E. Ratner, “Should the Indications for Laparascopic Live Donor Nephrectomy of the Right Kidney Be the Same as for the Open Procedure?” Transplantation, Vol. 71, No. 5, 2001, pp. 660-664.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.