Murthy Anupama, Nino-Torres Laura, Dilip Raga, Le Marie, Graham Jay A
Department of Surgery, Montefiore Medical Center, Bronx, New York, USA.
Albert Einstein College of Medicine, Bronx, New York, USA.
Case Rep Transplant. 2025 May 29;2025:5387595. doi: 10.1155/crit/5387595. eCollection 2025.
Kidney transplant is the gold standard for the treatment of end-stage renal disease (ESRD). However, there is a significant discrepancy between donor availability and the number of potential recipients on the waiting list. Living donor kidney transplantation has been considered an alternative to increase the donor pool. Left donor nephrectomy is typically preferred due to the length of the renal vein. However, in some cases, right donor nephrectomy must be considered, which presents challenges due to the shorter renal vein and, in some cases, multiple renal arteries. For these cases, transplant surgeons must have alternative strategies to reconstruct the vasculature and ensure that graft implantation and anastomosis are as safe as possible. We present a case of a living donor right laparoscopic nephrectomy with two renal arteries, including vein elongation with an end-to-end anastomosis with a deceased donor renal vein and an end-to-side arterial anastomosis using a deceased donor iliac artery conduit.
肾移植是终末期肾病（ESRD）治疗的金标准。然而，供体的可获得性与等待名单上潜在受者的数量之间存在显著差异。活体供肾移植被认为是增加供体库的一种替代方法。由于肾静脉的长度，通常更倾向于进行左供肾切除术。然而，在某些情况下，必须考虑右供肾切除术，这由于肾静脉较短以及在某些情况下存在多条肾动脉而带来挑战。对于这些情况，移植外科医生必须有替代策略来重建脉管系统，并确保移植物植入和吻合尽可能安全。我们报告一例活体供体右腹腔镜肾切除术，该供体有两条肾动脉，包括通过与尸体供肾静脉进行端端吻合实现静脉延长，以及使用尸体供体髂动脉导管进行端侧动脉吻合。
