Volume 3, Issue 2, December 2019, Page: 27-35
Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam
Thu Thi Ngoc Du, Department of Urology at Cho Ray Hospital, Urology Subdivided of Can Tho Medical University, Ho Chi Minh City, Vietnam
Sinh Ngoc Tran, Department of Urology at Cho Ray Hospital, Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
Received: Aug. 29, 2019;       Accepted: Sep. 23, 2019;       Published: Oct. 9, 2019
DOI: 10.11648/j.ijcu.20190302.11      View  73      Downloads  9
Abstract
In this clinical serial, we would like to introduce a surgical technique for kidney transplantation (KTx) from living donor (LD); we call the vessel disposition technique (VDT), with long-term follow-up results. A prospective study at Cho Ray Hospital. The patients underwent the KTx from 1998-2011 and following-up until 2016. There were 201pts., 130 males (64.7%) and 71 females (35.3%). Average age is 33.56 ± 8.62 year old (yo), [15 to 61yo]. We divided it into two groups (at the back table and recipient surgical table): Group A: The Kidney graft (KG) with short vein (≤20 mm) was transplanted on right iliac fossa: 63/201pts. (31.34%), 13/63 from the left (20.63%) and 50/63 from the right (79.37%): the renal vein was dissected, liberated and prolonged; for the right KG, a renal VDT would be done. On the pts., right Gibson incision, made an iliac VDT: dissection of the right iliac vessels (RIV), moved the external iliac vein (IV) to the right side of the external iliac artery; and a termino-lateral venous anastomosis. The renal artery anastomosis would be done as usual. Group B: The KG with the long vein enough (>20 mm) was also transplanted on RIF: 138/201pts (68.66%). Usually, the KG is the left, the KTx was performing as usual, vascular postoperative follow-up by Doppler ultrasound. There wasn’t any surgical vascular complication during the average FU of: 8.0±3.44 years (group A) and 8.79±4.07 years (group B). During the long time follow-up on the serial, the VDT was satisfactory. The KTx from LD was safety for the short KG vein and we could perform on the right side of the pts for the left and the right KG. We could avoid other risky venous reconstructive techniques.
Keywords
Vascular Reconstruction in Kidney Transplantation, Kidney Transplantation Techniques, Vessel Disposition Technique, Transposition of Iliac Vessels, Renal Vein Extension, Laparoscopic Living-Donor Nephrectomy
To cite this article
Thu Thi Ngoc Du, Sinh Ngoc Tran, Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam, International Journal of Clinical Urology. Vol. 3, No. 2, 2019, pp. 27-35. doi: 10.11648/j.ijcu.20190302.11
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Bollens, R., et al., Laparoscopic Live Donor Right Nephrectomy: A New Technique to Maximize the Length of the Renal Vein Using a Modified Endo GIA Stapler. european urology, 2007. 51: p. 1326-1331.
[2]
Ei-Hinnawi, Ashraf; Sageshima Junichiro; Uchida, Koishiro; Chen, Linda; Burke, George W.; Ciancio, Gaetano, New Technique in Using the Gonadal Vein in Lengthening the Right Renal Vein in Living Donor Kidney Transplant, Transplantation Journal, 2012. 94 (6): p. e40-e41.
[3]
Naderi, G. H., et al., Polytetrafluoroethylene Vascular Graft as a Rescuer of Short Renal Vessels During Kidney Transplantation. Urol. J, 2009. 6: p. 91111-47.
[4]
Nasser Simforoosh, Ali Tabibi, Mohammad Hossein Soltani, Samad Zare, Seyed Reza Yahyazadeh, Behrang Abadpoor, Long-Term Follow-up After Right Laparoscopic Donor Nephrectomy and Inverted Kidney Transplant. Experimental and Clinical Transplantation, 2016, 14 (1), p. 27-31.
[5]
Nghiem, D. D., Spiral Gonadal Vein Graft Extension Of Right Renal Vein In Living Renal Transplantation. The Journal of Urology 1989: p. 1525.
[6]
Nghiem, D. D., Use of spiral vein graft in living donor renal transplantation. Clin Transplant, 2008. 22 (6): p. 719-21.
[7]
Puche-Sanz, I., et al., Right renal vein extension with cryopreserved external iliac artery allografts in living-donor kidney transplantations, in Urology. 2013. p. 1440-3.
[8]
Veeramani, M., et al., Donor Gonadal Vein Reconstruction for Extension of The Transected Renal Vessels in Living Renal Transplantation. Indian J Urol, 2010. 26 (2): p. 314-316.
[9]
Ciudin, A., et al., Transposition of Iliac Vessels in Implantation of Right Living Donor Kidneys. Transplantation Proceedings, 2012. 44: p. 2945–2948.
[10]
Molmenti, E. P., et al., Renal transplantation with iliac vein transposition. Transplant Proc, 2004. 36 (9): p. 2643-5.
[11]
Thu, D. T. N., et al., The Transposition technique of blood vessels in kidney transplantation. 2009. p. 84.
[12]
Tran, N. S., et al., Right Iliac Vein Positioning in Right Renal Grafts 2009. p. S221.
[13]
Du, T., et al., A Procedure To Transplant a Kidney with Short Vein Removing by Laparoscopy. 2011: Elsivier’s publisher. p. s352.
[14]
Sinh Ngoc Tran, T. T. N. D., Venous Disposition Procedure (VDP) of The Right Renal Vein After Laparoscopic Donor Nephrectomy -A Simple Procedure. 2011: Glasgow Scotland.
[15]
Tran Ngoc Sinh, D. T. N. T. e. a., A Vascular Disposition Technique For Short Vein Of Graft In Kidney Transplantation. 2012, International Journal of Urology.
[16]
Thu, D. T. N., Evaluate The Vascular Disposition Procedure in Kidney Transplantation from living donor into right iliac fossa. (Đánh giá kỹ thuật chuyển vị mạch máu trong ghép thận từ người cho sống vào hốc chậu phải), in AMBN support for Education and Training. 2012, Ho Chi Minh City Medical and Pharmacy University.
[17]
Thu, D. T. N. and T. N. Sinh, Đánh Giá Kỹ Thuật Chuyển Vị Mạch Máu Trong Ghép Thận Từ Người Cho Sống Vào Hốc Chậu Phải. (To evaluate the vascular disposition procedure in kidney transplantation from living donors and right iliac fossa). Ho Chi Minh City Medical Research, 2013. 17 (3): p. 44-50.
[18]
Piyasena, R. and U. Hamper, Doppler ultrasound evaluation of renal transplants. Radiology Journals, 2010. 39 (9): p. 24-32.
[19]
Tublin, M. E., R. O. Bude, and J. F. Platt, Review. The resistive index in renal Doppler sonography: where do we stand? AJR Am J Roentgenol, 2003. 180 (4): p. 885-92.
[20]
Colleen, M., Noninvasive Vascular Examination. Springer Science + Bussiness Media, 2006: p. 19-24.
[21]
Allen, R. D. M., Vascular Complications After Kidney Transplantation. 6th ed. Kidney Transplantation Principles and Practice, ed. P. e. J. M. John M. Barry. 2008: Saunders W. B. Company.
[22]
Aktas, S., et al., Analysis of vascular complications after renal transplantation. Transplant Proc, 2011. 43 (2): p. 557-61.
[23]
Park, S. B., J. K. Kim, and K. S. Cho, Complications of Renal Transplantation Ultrasonographic Evaluation. J Ultrasound Med, 2007. 26: p. 615-633.
[24]
John M. Barry, P. J. M., Surgical techniques of renal transplantation. 6th ed. Kidney transplantation Principles and Practice, ed. S. J. K. Peter J Morris. 2008: Saunders W. B.
[25]
Giuseppe Serena, Javier Gonzalez, Giselle Guerra, Mohamed Ammar AlNuss, Maykel Valdes, and Gaetano Ciancio, Vascular Reconstructions in Living Unrelated Kidney Transplant Using Donor Ovarian Vein and Recipient Inferior Epigastric Artery with Simultaneous Enucleation of a Complex Cyst, Hindawi, case report in transplantation, 2019, Article ID 3272080, https://www.hindawi.com/journals/crit/2019/3272080/
[26]
Cho S., Cho W., Cho M-. J., Choi C., Ahn S., Min S-. I., Min S-. K., Kim S., Ha J. Artificial Graft Extension of Renal Vein in Living Kidney Transplantation, Am J Transplant. 2017; 17 (suppl 3).
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