Renal Vein Lengthening Using Gonadal Vein Reduces Surgical Difficulty in Living-Donor Kidney Transplantation
| العنوان: | Renal Vein Lengthening Using Gonadal Vein Reduces Surgical Difficulty in Living-Donor Kidney Transplantation |
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| المؤلفون: | Ya Xiao, Pingxian Wang, Ming-qi Fan, Genfu Zhang, Jiayu Feng, Chi-bing Huang |
| المصدر: | World Journal of Surgery. 36:468-472 |
| بيانات النشر: | Springer Science and Business Media LLC, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Urology, Renal function, Anastomosis, Kidney Function Tests, Nephrectomy, Renal Veins, Postoperative Complications, Internal medicine, Living Donors, medicine, Hand-Assisted Laparoscopy, Humans, Prospective Studies, Kidney transplantation, Kidney, urogenital system, business.industry, Anastomosis, Surgical, Middle Aged, medicine.disease, Kidney Transplantation, Transplantation, medicine.anatomical_structure, Cardiology, Female, Surgery, Ureter, Gonadal vein, Renal vein, business |
| الوصف: | During living-donor kidney transplantation, to maximally decrease donor injury, the right kidney with lower glomerular filtration rate often is selected as the donor kidney. However, the renal vein of the right kidney is relatively short for transplantation. The gonadal vein is essentially useless and is easily accessed during the donor nephrectomy.Seventeen live kidney donors received right kidney nephrectomy for living-donor kidney transplantation. Short renal veins were lengthened by circular anastomosis or spiral anastomosis of longitudinally cut gonadal veins. The renal function of receivers was evaluated using creatinine clearance.The renal veins were extended by 2.0-2.7 cm with circular anastomosis and 4.1-4.5 cm with spiral anastomosis with an average of 2.5 ± 0.7 cm. Lengthening of renal veins averaged 20.4 ± 4.2 min. All surgeries were successful, significantly reducing difficulty of vascular anastomosis during transplantation. No poor early graft function occurred. No side effects were observed in donors.When donor renal veins are too short for effective kidney transplantation and may affect reliability of vascular anastomosis, they can be lengthened by using gonadal veins without increasing injury to the donor. Successful extension of donor kidney renal veins expands the indication for right donor kidneys. |
| تدمد: | 1432-2323 0364-2313 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b328b6c299e68918d612980d11b7c47dTest https://doi.org/10.1007/s00268-011-1243-zTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....b328b6c299e68918d612980d11b7c47d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322323 03642313 |
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