El Hennawy Hany M, Al Faifi Abdullah S, Al Atta Eisa, Safar Omar, Shalkamy Osama, Elatreisy Adel, Bazeed Mohammed F, Mahedy Ahmed, Zaitoun Mohammad F, El Haddad Ahmed
From the Surgery Department, Section of Transplantation, Armed Forces Hospitals Southern Region, Khamis Mushayte, Saudi Arabia.
Exp Clin Transplant. 2023 Mar;21(3):272-274. doi: 10.6002/ect.2023.0009.
Duplication of the inferior vena cava is a rare vascular anomaly that increases the complexity of living donor nephrectomy and subsequent transplant. We present the case of a successful left-side laparoendoscopic single-site donor nephrectomy performed in a donor with a duplicated inferior vena cava. The length of the left renal vein was adequate for anastomosis in the recipient, with no late surgical complications at 9 months for both donor and recipient. Duplicated inferior vena cava is not a contraindication for left kidney transplant. Preoperative assessment and planning with computed tomography angiography are essential. Laparoendoscopic single-site donor nephrectomy can be performed safely in patients with duplicated inferior vena cava.
下腔静脉重复是一种罕见的血管异常，会增加活体供肾肾切除术及后续移植的复杂性。我们报告了一例在患有下腔静脉重复的供体中成功实施左侧腹腔镜单孔供肾肾切除术的病例。左肾静脉长度足以在受体中进行吻合，供体和受体在9个月时均无晚期手术并发症。下腔静脉重复并非左肾移植的禁忌证。术前通过计算机断层血管造影进行评估和规划至关重要。对于下腔静脉重复的患者，可以安全地实施腹腔镜单孔供肾肾切除术。
