Case Report of Living Kidney Transplantation Using Ectopic Pelvic Kidney Harvested by Reduced Port Laparoscopic Donor Nephrectomy
| Autor: | Noriyoshi Miura, Tadahiko Kikugawa, Yuuki Miyauchi, Takashi Saika, Terutaka Noda |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Choristoma Kidney Nephrectomy Pelvis medicine.artery medicine Living Donors Humans External iliac vein Inferior epigastric artery Transplantation Pelvic kidney business.industry Ectopic kidney medicine.disease Internal iliac artery Kidney Transplantation Female Urogenital Diseases Surgery Tissue and Organ Harvesting Female Laparoscopy business Ovarian vein |
| Zdroj: | Transplantation proceedings. 50(10) |
| ISSN: | 1873-2623 |
| Popis: | A 28-year-old woman was diagnosed as having an ectopic kidney in adolescence. She desired to donate her ectopic kidney to her mother, who was diagnosed as having renal failure. The ectopic kidney was located behind the sigmoid colon with 3 renal arteries and 3 renal veins. Laparoscopic donor nephrectomy was performed by reduced port surgery using the GelPOINT access platforms at a midline incision below the umbilicus with 1 accessory port. A thin artery of the donated kidney was ligated. An artery of the upper pole was anastomosed to the internal iliac artery, and a second artery was anastomosed directly to the inferior epigastric artery. Three veins were anastomosed to the external iliac vein: 1 anastomosed directly, 1 interposed by saphenous vein graft, and 1 interposed by harvested ovarian vein. To our knowledge, this is the first successful case of transplantation using an ectopic pelvic kidney by reduced port laparoscopic donor nephrectomy. |
| Databáze: | OpenAIRE |
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