Dual en bloc technique for adult renal transplantation

Clinical Transplantation
Kim Chi TranPatrick P Luke

Abstract

We describe and provide follow-up for a novel simplified technique permitting dual en bloc (DEB) transplantation of adult organs using single in situ arterial and venous anastomoses. Twenty-two adult DEB transplants were performed at our center between 2001 and 2012, utilizing 44 kidneys en bloc. Results were compared with 20 solitary transplants from expanded criteria donors (ECD) associated with lower terminal serum creatinines and Remuzzi biopsy scores vs DEB group. Adult DEB implants had donor inferior vena cava connected to recipient external iliac vein and "Y" arterial interposition graft anastomosed to the recipient iliac artery. Ureters were conjoined prior to implantation as a single patch into the recipient bladder. Mean operative time was 206±57 minutes in DEB vs 180±30 minutes in single transplants (P<.05). Delayed graft function rate was 23% vs 25% in both groups. At 12-month follow-up, mean serum creatinine was 152±66 μmol/L vs in 154±52 μmol/L DEB and single kidney transplant recipients, respectively (P=NS). Three-year overall and graft specific survival were 86% and 84% in the DEB group, respectively (P=NS). Complication rates were similar between groups. This DEB renal transplantation technique is safe and effe...Continue Reading

References

Mar 28, 2003·Journal of the American Society of Nephrology : JASN·Suphamai BunnapradistYong W Cho
Apr 30, 2003·Transplantation·Edward J AlfreyUNKNOWN Dual Kidney Registry
Jan 27, 2006·The New England Journal of Medicine·Giuseppe RemuzziUNKNOWN Dual Kidney Transplant Group
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May 7, 2011·Transplantation·Anja GallinatGeorgios C Sotiropoulos

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Citations

Dec 24, 2021·Current Opinion in Organ Transplantation·Robert J StrattaBerjesh Sharda
Dec 23, 2021·Clinical Transplantation·Robert J StrattaBerjesh Sharda

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