Kidney transplants from living related donors having double inferior vena cava.

Abstract:

:We performed four living related kidney transplantations from donors with double inferior vena cava (D-IVC), in which the left kidney was selected in two cases and the right in two cases. By dissecting the right internal iliac vein and isolating the right external iliac vein, the surgical procedure of the recipient side was so devised as to avoid any complications. In one patient, the surgical procedure of the donor side was modified to extend the donor left renal vein by anastomosis of part of the donor IVC to the renal vein. In the other case, no special treatment was necessary due to the patient's slender physique. In all four cases, transplants were successfully performed. The following conclusions can be made from these results: If the donor has D-IVC, it is essential to carefully conduct pre-operative examinations including angiography and venography to investigate other possible anomalies and blood flow of the renal vein. In addition, the graft must be carefully selected so that it is not disadvantageous to the donor. If there is no disadvantage to the donor as to which kidney is selected, the kidney with the longer renal vein should be transplanted.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Nakatani T,Kim T,Naganuma T,Uchida J,Takemoto Y,Sugimura K

doi

10.1159/000077695

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

358-60

issue

4

eissn

0042-1138

issn

1423-0399

pii

77695

journal_volume

72

pub_type

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