2019, Number 2
Right renal vein elongation for left renal vein transplantation
Language: Spanish
References: 9
Page: 136-140
PDF size: 816.55 Kb.
ABSTRACT
Introduction: In the anatomical arrangement of the great abdominal vessels, the lower vena cava is discretely to the right of the spinal column; the aortic artery is in the midline in front of the vertebral bodies, and the renal vessels have different lengths according to whether if they are right or left. Objective: To show an alternative elongation of the right renal vein using the left renal vein. Case presentation: Transplanted patient with the selected kidney that had a very short renal vein and no cava patch. It was decided to section the left renal vein and use it to elongate the right renal vein by end-toend anastomosis. Conclusions: With the elongation of the right renal vein by end-to-end anastomosis of the left renal vein, it is possible to obtain an optimal kidney for the performance of a kidney transplant of cadaveric origin, with excellent clinical and humoral results.REFERENCES
Vela-Navarrete R, González-Enguita C, Rodríguez-Miñón JL, Calahorra J. Injerto renal y los inconvenientes técnicos debidos a la cortedad de la vena renal derecha. Actas Urol Esp. 2013 [citado 17/11/2017]; 37:457-8. Disponible en: http://www.elsevier.es/esrevista- actas-urologicas-espanolas-292-articuloinjerto- renal-los-inconvenientes-tecnicos- S0210480613001599
Arango O, Lorente JA, Bielsa O, Rijo E, Francés A, Fumadó L, et al. Alargamiento de la vena renal derecha en 120 trasplantes consecutivos. Análisis comparativo. Actas Urológicas Españolas. 2013 [citado 10/05/2018]; 37(3):135- 41. Disponible en: http://www.sciencedirect.com/science/article/ pii/S0210480612001131
Richard Allen DM. Vascular and Lymphatics. Complications after Kidney Transplantation. Principles and Practice. Seventh ed. Elsevier Saunders. 2014. [citado 17/09/2018]; 435-63. Disponible en: https://expertconsult.inkling.com/read/morriskidney-transplantation-principles-practice-7th/chapter-28/technical-complicationsand#20b6057411c54cbf91fb99f147a1d885