Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney Transplantation
Advanced atherosclerosis or thrombosis of iliac vessels can constitute an absolute contraindication for heterotopic kidney transplantation. We report the case of a 42-year-old women with end-stage renal disease due to lupus nephritis and a history of bilateral thrombosis of iliac arteries caused by...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2011/153493 |
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| author | Dimitri Mikhalski Karl Martin Wissing Renaud Bollens Daniel Abramowicz Vincent Donckier Anh-Dung Hoang |
| author_facet | Dimitri Mikhalski Karl Martin Wissing Renaud Bollens Daniel Abramowicz Vincent Donckier Anh-Dung Hoang |
| author_sort | Dimitri Mikhalski |
| collection | DOAJ |
| description | Advanced atherosclerosis or thrombosis of iliac vessels can constitute an absolute contraindication for heterotopic kidney transplantation. We report the case of a 42-year-old women with end-stage renal disease due to lupus nephritis and a history of bilateral thrombosis of iliac arteries caused by antiphospholipid antibodies. Occlusion had been treated by the bilateral placement of wall stents which precluded vascular anastomosis. The patient was transplanted with a right kidney procured by laparoscopic nephrectomy from her HLA semi-identical sister. The recipient had left nephrectomy after laparoscopical transperitoneal dissection. The donor kidney was orthotopically transplanted with end-to-end anastomosis of graft vessels to native renal vessels and of the graft and native ureter. Although, the patient received full anticoagulation because of a cardiac valve and antiphospholipid antibodies, she had no postoperative complication in spite of a short period of delayed graft function. Serum creatinine levels three months after transplantation were at 1.0 mg/dl. Our case documents that orthotopical transplantation of laparoscopically procured living donor kidneys at the site of recipient nephrectomy is a feasible procedure in patients with surgical contraindication of standard heterotopic kidney transplantation. |
| format | Article |
| id | doaj-art-a8e8684315b846c5b34a797be6dfaf1a |
| institution | Kabale University |
| issn | 2090-6943 2090-6951 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Transplantation |
| spelling | doaj-art-a8e8684315b846c5b34a797be6dfaf1a2025-02-03T06:13:21ZengWileyCase Reports in Transplantation2090-69432090-69512011-01-01201110.1155/2011/153493153493Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney TransplantationDimitri Mikhalski0Karl Martin Wissing1Renaud Bollens2Daniel Abramowicz3Vincent Donckier4Anh-Dung Hoang5Department of Digestive Surgery and Transplantation, Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, BelgiumDepartment of Nephrology, Universitair Ziekenhuis Brussel, 1090 Brussel, BelgiumDepartment of Urology, Hopital de la Dorcas, 7500 Tournai, BelgiumDepartment of Nephrology, Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, BelgiumDepartment of Digestive Surgery and Transplantation, Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, BelgiumDepartment of Digestive Surgery and Transplantation, Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, BelgiumAdvanced atherosclerosis or thrombosis of iliac vessels can constitute an absolute contraindication for heterotopic kidney transplantation. We report the case of a 42-year-old women with end-stage renal disease due to lupus nephritis and a history of bilateral thrombosis of iliac arteries caused by antiphospholipid antibodies. Occlusion had been treated by the bilateral placement of wall stents which precluded vascular anastomosis. The patient was transplanted with a right kidney procured by laparoscopic nephrectomy from her HLA semi-identical sister. The recipient had left nephrectomy after laparoscopical transperitoneal dissection. The donor kidney was orthotopically transplanted with end-to-end anastomosis of graft vessels to native renal vessels and of the graft and native ureter. Although, the patient received full anticoagulation because of a cardiac valve and antiphospholipid antibodies, she had no postoperative complication in spite of a short period of delayed graft function. Serum creatinine levels three months after transplantation were at 1.0 mg/dl. Our case documents that orthotopical transplantation of laparoscopically procured living donor kidneys at the site of recipient nephrectomy is a feasible procedure in patients with surgical contraindication of standard heterotopic kidney transplantation.http://dx.doi.org/10.1155/2011/153493 |
| spellingShingle | Dimitri Mikhalski Karl Martin Wissing Renaud Bollens Daniel Abramowicz Vincent Donckier Anh-Dung Hoang Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney Transplantation Case Reports in Transplantation |
| title | Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney Transplantation |
| title_full | Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney Transplantation |
| title_fullStr | Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney Transplantation |
| title_full_unstemmed | Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney Transplantation |
| title_short | Laparoscopic-Assisted Recipient Nephrectomy and Recipient Kidney Procurement during Orthotopic Living-Related Kidney Transplantation |
| title_sort | laparoscopic assisted recipient nephrectomy and recipient kidney procurement during orthotopic living related kidney transplantation |
| url | http://dx.doi.org/10.1155/2011/153493 |
| work_keys_str_mv | AT dimitrimikhalski laparoscopicassistedrecipientnephrectomyandrecipientkidneyprocurementduringorthotopiclivingrelatedkidneytransplantation AT karlmartinwissing laparoscopicassistedrecipientnephrectomyandrecipientkidneyprocurementduringorthotopiclivingrelatedkidneytransplantation AT renaudbollens laparoscopicassistedrecipientnephrectomyandrecipientkidneyprocurementduringorthotopiclivingrelatedkidneytransplantation AT danielabramowicz laparoscopicassistedrecipientnephrectomyandrecipientkidneyprocurementduringorthotopiclivingrelatedkidneytransplantation AT vincentdonckier laparoscopicassistedrecipientnephrectomyandrecipientkidneyprocurementduringorthotopiclivingrelatedkidneytransplantation AT anhdunghoang laparoscopicassistedrecipientnephrectomyandrecipientkidneyprocurementduringorthotopiclivingrelatedkidneytransplantation |