Dai D Nghiem1. 1. Division of Transplant Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA. dnghiem@wpahs.org
Abstract
INTRODUCTION: To provide optimal nephron mass, two adult kidneys can be transplanted into a single recipient. TECHNICAL CONSIDERATIONS: All techniques described to date have been based on the sequential transplantation of each transplant in a separate iliac fossa. We report on an operative technique allowing the simultaneous transplantation of both kidneys into the same iliac fossa, with simultaneous revascularization through a single arterial and single venous anastomosis in 12 patients. CONCLUSIONS: This technique reduces the surgical dissection, anesthesia exposure, and risk to elderly recipients and can be added to the armamentarium of the transplant surgeon.
INTRODUCTION: To provide optimal nephron mass, two adult kidneys can be transplanted into a single recipient. TECHNICAL CONSIDERATIONS: All techniques described to date have been based on the sequential transplantation of each transplant in a separate iliac fossa. We report on an operative technique allowing the simultaneous transplantation of both kidneys into the same iliac fossa, with simultaneous revascularization through a single arterial and single venous anastomosis in 12 patients. CONCLUSIONS: This technique reduces the surgical dissection, anesthesia exposure, and risk to elderly recipients and can be added to the armamentarium of the transplant surgeon.
Authors: M Salehipour; A Bahador; S Nikeghbalian; K Kazemi; A R Shamsaeifar; S Ghaffaripour; M A Sahmeddini; H Salahi; A Bahreini; P Janghorban; S Gholami; S A Malek-Hosseini Journal: Int J Organ Transplant Med Date: 2012