scholarly journals Transplantation of a horseshoe kidney from a living donor using stapler for transsection

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Ulas Sozener
Keyword(s):  
Computed Tomography ◽  
Renal Artery ◽  
Female Patient ◽  
Renal Vein ◽  
Living Donor ◽  
Horseshoe Kidney ◽  
Donor Nephrectomy ◽  
Dynamic Computed Tomography ◽  
Routine Procedure ◽  
Vascular Stapler

Abstract Although it rather became a routine procedure to evaluate and use a cadaveric horseshoe kidney, using one from a living donor is quite rare. In this paper, we present methods we used during such a case which may benefit the procedures in the future. A 29-year-old female patient was considered for transplant and only viable living donor was her 59-year-old mother. Dynamic computed tomography revealed horseshoe anomaly with one renal artery and one renal vein for each side, a long but thin isthmus connecting lower poles with no visible arterial supply. Descending urography showed no connecting caliceal system. Donor nephrectomy was performed and isthmus separation was carried out with vascular stapler. Recipient was discharged on the 6th day with no complications. Patient was followed up for 6 months with normal creatinine levels. When properly assessed before the surgery, using a horseshoe kidney is not so challenging as thought.

Safety of Polymer Clips in Laparoscopic Living Donor Nephrectomy: Indonesian Experience

2018 ◽  
Vol 24 (8) ◽  
pp. 6238-6241
Author(s):  
Karina Evelyn Sidabutar ◽  
A. R Hamid ◽  
Nur Rasyid ◽  
Arry Rodjani ◽  
Irfan Wahyudi ◽  
...  
Keyword(s):  
Blood Loss ◽  
Renal Artery ◽  
Renal Vein ◽  
Living Donor ◽  
Donor Nephrectomy ◽  
Vascular Control ◽  
Ischemic Time ◽  
Warm Ischemic Time ◽  
Living Donor Nephrectomy ◽  
Estimated Blood Loss

To assess the reliability and safety of polymer clips for vascular control in laparoscopic living donor nephrectomy. We collected data retrospectively from all laparoscopic living donor nephrectomy performed in Ciptomangunkusumo Hospital, Jakarta, Indonesia. Polymer clips was applied for both renal artery and renal vein ligation. The incidence of polymer clip failure was recorded accordingly. Between November 2011 and August 2015, we evaluated 260 patients of laparoscopic living donor nephrectomy in a center. The left kidney was harvested from 219 (84.5%) patients. Multiple renal arteries was discovered in 25 (9.6%) patients. For all cases we used polymer clips to control the renal artery (XL and L) and renal vein (XL). We placed 2 clips as proximal as possible to the aorta or caval vein. The median estimated blood loss was 100 (20–2000) ml. A blood loss of 2000 ml occurred in one/case of clip dislodgement. The median time to clip (the length of time from first incision to renal artery clamping) was 155 (68–318) minutes. The median warm ischemic time (the length of time from clamping to cold ischemic time) was 3.01 (1.22–30.43) minutes. There were 10 cases with warm ischemic time of more than 10 minutes. Three cases (1.2%) of clip failures occurred. One patient needed conversion to open surgery to achieve adequate vascular control. Two patients experienced improper locking of the polymer clips, necessitating clips reapplication. The use of polymer clips for vascular control in laparoscopic living donor nephrectomy is reliable and safe when properly applied. However the evaluation of renal vascular stump after harvesting donor kidney is an important step to ensure the right placement and safety of polymer clips.

Pulmonary Embolus Originating From Renal Vein Stump Thrombus After Laparoscopic Living Donor Nephrectomy: Case Report

2014 ◽  
Vol 46 (7) ◽  
pp. 2406-2408
Author(s):  
N. Lubezky ◽  
E.H. Stern ◽  
V. Nair ◽  
D. Herron ◽  
E. Chin ◽  
...  
Keyword(s):  
Case Report ◽  
Renal Vein ◽  
Pulmonary Embolus ◽  
Living Donor ◽  
Donor Nephrectomy ◽  
Living Donor Nephrectomy

Open Management of the Renal Vein Is a Safe Modification in Right Sided Laparoscopic Living Donor Nephrectomy.

2014 ◽  
Vol 98 ◽  
pp. 494
Author(s):  
C. Margreiter ◽  
M. Gummerer ◽  
R. Oberhuber ◽  
S. Schneeberger ◽  
F. Aigner ◽  
...  
Keyword(s):  
Renal Vein ◽  
Living Donor ◽  
Donor Nephrectomy ◽  
Living Donor Nephrectomy ◽  
Open Management

scholarly journals Retroperitoneal Lipoma Presenting with Nutcracker-Like Phenomenon

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Seiichi Saito
Keyword(s):  
Computed Tomography ◽  
Renal Artery ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Flank Pain ◽  
Left Renal Artery ◽  
Left Flank ◽  
Left Flank Pain

Retroperitoneal lipoma presenting with a nutcracker-like phenomenon is extremely rare. I experienced a case of a 65-year-old man presenting with left flank pain and macrohematuria intermittently for 3 years. Computed tomography revealed a lipoma at the left pedicle of the kidney, 30 mm in diameter, causing a curving of the left renal artery and dilatation of the left renal vein. This patient was treated successfully by retroperitoneoscopic resection of the lipoma. There have been no symptoms for 10 years after the operation.

scholarly journals H shape renal vein anomaly encountered during living donor nephrectomy

2015 ◽  
Vol 9 (1) ◽  
pp. 37-38 ◽  
Author(s):  
Datteswar Hota ◽  
Sanjay Choudhuri ◽  
Jeevanjyoti Mishra ◽  
Sabyasachi Panda
Keyword(s):  
Renal Vein ◽  
Living Donor ◽  
Donor Nephrectomy ◽  
Living Donor Nephrectomy

Leiomyosarcoma of the renal vein: Arterial encasement on contrast-enhanced dynamic computed tomography

2006 ◽  
Vol 13 (5) ◽  
pp. 611-612 ◽  
Author(s):  
TETSUO MAEDA ◽  
UKIHIDE TATEISHI ◽  
HIROYUKI FUJIMOTO ◽  
YAE KANAI ◽  
KAZURO SUGIMURA ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Renal Vein ◽  
Dynamic Computed Tomography ◽  
Contrast Enhanced
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