Kidney Grafts With Multiple Renal Arteries Is No Longer a Relative Contraindication With Advance in Surgical Techniques of Laparoscopic Donor Nephrectomy

Hung, Chung-Jye; Lin, Yo‐Sheng; Chang, Sheng-Po; Chou, Tse‐Chuan; Lee, P. C.

doi:10.1016/j.transproceed.2011.12.027

Cited by 24 publications

(20 citation statements)

References 11 publications

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“…In contradistinction to Satyapal et al (11) and Stasikiewicz et al Nowadays, supernumerary renal arteries are no longer contraindication for laparoscopic donor nephrectomy procedure. However, awareness of supernumerary arteries may help to obviate possible complications (16,18). Prehilar or double hilar branching is a standard variant in which the main artery of the kidney subdivides into segmental arteries at a more proximal level before entering the hilum of the kidney.…”

Section: Discussionmentioning

confidence: 99%

Vascular variations of the kidney, retrospective analysis of computed tomography images of ninety-one laparoscopic donor nephrectomies, and comparison of computed tomography images with perioperative findings

et al. 2020

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Background: In this retrospective study, we aimed to determine the variations of kidney arteries and veins in kidney donor patients who underwent preoperative, computed tomography angiography. Materials and methods:We analyzed kidney computed tomography angiography findings of ninety-one donor nephrectomy patients operated from July 2016 through December 2017.Demographics, vascular diameters, abnormalities, numbers, branching variations, routing variations of arteries, and veins were assessed according to computed tomography angiography images. We also compared the radiological findings with perioperative findings.Two radiologists evaluated computed tomography angiography images, and the same surgical team performed all donor nephrectomies by laparoscopic approach.Results: Ninety-one of the 96 patients involved to study. Forty-six (50.5%) patients were female. Thirty-five (38.4%) of 91 cases had accessory arteries. Seven right (7.6%), one left (1.1%) and eight (8.7%) bilateral double hilar artery was observed on computed tomography angiography. No statistically significant difference was observed in the evaluation of the side of accessory/ polar arteries (p>0.05), and in the evaluation of the distribution of arterial/ venous variations according to perioperative findings (p>0.05). However, in the evaluation of computed tomography angiography images, we found that the diameter of the kidney artery and vein differed according to gender and side. Conclusions:The knowledge of the vascular variations of the kidney is essential for surgeons performing kidney transplantation. It is also essential for urologist and vascular surgeons.Incompatible with the literature, the right kidney has more vascular variations and, one kidney artery is found in the majority of Turkish kidney donor patients.

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Section: Discussionmentioning

confidence: 99%

Vascular variations of the kidney, retrospective analysis of computed tomography images of ninety-one laparoscopic donor nephrectomies, and comparison of computed tomography images with perioperative findings

et al. 2020

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“…The presence of renal artery variations in the donor kidney substantially increases the risk of complications and given the technical difficulties [8][9][10]. Transplanting a kidney with multiple arteries has several theoretical disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Kidney transplantation from living donors with multiple renal arteries

Ertuğrul¹,

Aydın²

2019

Journal of Surgery and Medicine

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Aim: Although better outcomes have been reported recently due to advances in surgical techniques, kidney artery variations are still important for good clinical results in transplantation. The aim of our study was to compare the clinical outcomes of grafts with one and two or more arteries. Methods: Between April 2014 and January 2019, 117 patients with live kidney transplantations were evaluated retrospectively with two groups. Group 1 consisted with one artery grafts and Group 2: two or more arteries. We were evaluated clinical outcomes between groups. Results: Among 117 recipients, there were two or more arteries in 13 cases (11.1 %). There was no significant deference between these two groups in terms of clinical outcomes during a median 27 (1-60) months of follow-up (P=0.62). Conclusion: It appears that the presence of renal grafts with two or more arteries may not be counted as a relative contraindication for renal transplantation.

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“…2 In cases of multiple renal arteries, the kidney graft can be recovered safely by laparoscopic nephrectomy without injury to the renal arteries. 3,4 Theoretically, the live donor kidney with multiple arteries has a greater chance of associated complications of arterial stenosis, segmental infarction, hemorrhage, urine leakage, and ureteral stenosis. However, equal patient and graft survival can be achieved.…”

Section: Discussionmentioning

confidence: 99%

Meticulous Use of Techniques for Reconstruction of Multiple Renal Arteries in Live Donor Kidney Transplantation

Mou

Mitchell

et al. 2013

Transplantation Proceedings

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Kidney Grafts With Multiple Renal Arteries Is No Longer a Relative Contraindication With Advance in Surgical Techniques of Laparoscopic Donor Nephrectomy

Cited by 24 publications

References 11 publications

Vascular variations of the kidney, retrospective analysis of computed tomography images of ninety-one laparoscopic donor nephrectomies, and comparison of computed tomography images with perioperative findings

Vascular variations of the kidney, retrospective analysis of computed tomography images of ninety-one laparoscopic donor nephrectomies, and comparison of computed tomography images with perioperative findings

Kidney transplantation from living donors with multiple renal arteries

Meticulous Use of Techniques for Reconstruction of Multiple Renal Arteries in Live Donor Kidney Transplantation

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