Orthotopic kidney transplantation: a single center “recent” experience of an “old” procedure in patients with severe iliac vessels impairments
(2019) 26th BTS Annual Congress 2019 — Location: Antwerp, Belgium (14.March.2019)
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- Abstract
- BACKGROUND: We previously described our single center experience of kidney implantation on vascular grafts in selected patients with severe aorto-iliac atheromatosis. Here we report retrospectively our results of a consecutive series of three orthotopic kidney transplantation in patients with poor accessibility of the renal artery implantation on the aorto-iliac trunk. METHODS: Between 2017 and 2018 three orthotopic kidney transplantations were performed. The clinical data, indication for transplantation, surgical reports and complications were reviewed. RESULTS: In all cases patients presented a massive aorto-iliac atheromatosis associated with a complete occlusion of the left iliac vein and the inferior vena cava under the renal veins level in one case and a previous SPK in a second case. Surgery was conducted throw a left sub-costal incision and an intraperitoneal approach. After a left nephrectomy the transplant vein was implanted to the native left vein and the transplant artery was implanted to the distal part of the splenic artery. Mean creatinine was 1,83 ± 0.36 mg/dl up to 6 months after grafting. Mean operative time was 4 ±0.09 hours and Mean hospital stay was 15±5,5 days One case of urinary leakage and one urinary infection were observed, no vascular complications occurred. CONCLUSIONS: Orthotopic kidney transplantation is a feasible and safe procedure in selected patients with severe atheromatosis or no accessibility to iliac vessels. Moreover, it’s a valuable alternative to the renal arterial grafting on a vascular prosthesis implanted simultaneously or before transplantation.
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Buemi, A., Darius, T., De Meyer, M., Goffin, E., Devresse, A., Kanaan, N., & Mourad, M. (2019). Orthotopic kidney transplantation: a single center “recent” experience of an “old” procedure in patients with severe iliac vessels impairments. 26th BTS Annual Congress 2019, Antwerp, Belgium. https://hdl.handle.net/2078.5/30681