Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam

Thu Thi Ngoc Du; Sinh Ngoc Tran

doi:doi:10.11648/j.ijcu.20190302.11

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Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam

Thu Thi Ngoc Du, Sinh Ngoc Tran

Published in International Journal of Clinical Urology (Volume 3, Issue 2)

Received: 29 August 2019 Accepted: 23 September 2019 Published: 9 October 2019

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Abstract

In this clinical serial, we would like to introduce a surgical technique for kidney transplantation (KTx) from living donor (LD); we call the vessel disposition technique (VDT), with long-term follow-up results. A prospective study at Cho Ray Hospital. The patients underwent the KTx from 1998-2011 and following-up until 2016. There were 201pts., 130 males (64.7%) and 71 females (35.3%). Average age is 33.56 ± 8.62 year old (yo), [15 to 61yo]. We divided it into two groups (at the back table and recipient surgical table): Group A: The Kidney graft (KG) with short vein (≤20 mm) was transplanted on right iliac fossa: 63/201pts. (31.34%), 13/63 from the left (20.63%) and 50/63 from the right (79.37%): the renal vein was dissected, liberated and prolonged; for the right KG, a renal VDT would be done. On the pts., right Gibson incision, made an iliac VDT: dissection of the right iliac vessels (RIV), moved the external iliac vein (IV) to the right side of the external iliac artery; and a termino-lateral venous anastomosis. The renal artery anastomosis would be done as usual. Group B: The KG with the long vein enough (>20 mm) was also transplanted on RIF: 138/201pts (68.66%). Usually, the KG is the left, the KTx was performing as usual, vascular postoperative follow-up by Doppler ultrasound. There wasn’t any surgical vascular complication during the average FU of: 8.0±3.44 years (group A) and 8.79±4.07 years (group B). During the long time follow-up on the serial, the VDT was satisfactory. The KTx from LD was safety for the short KG vein and we could perform on the right side of the pts for the left and the right KG. We could avoid other risky venous reconstructive techniques.

Published in	International Journal of Clinical Urology (Volume 3, Issue 2)
DOI	10.11648/j.ijcu.20190302.11
Page(s)	27-35
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Vascular Reconstruction in Kidney Transplantation, Kidney Transplantation Techniques, Vessel Disposition Technique, Transposition of Iliac Vessels, Renal Vein Extension, Laparoscopic Living-Donor Nephrectomy

References

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[2]	Ei-Hinnawi, Ashraf; Sageshima Junichiro; Uchida, Koishiro; Chen, Linda; Burke, George W.; Ciancio, Gaetano, New Technique in Using the Gonadal Vein in Lengthening the Right Renal Vein in Living Donor Kidney Transplant, Transplantation Journal, 2012. 94 (6): p. e40-e41.
[3]	Naderi, G. H., et al., Polytetrafluoroethylene Vascular Graft as a Rescuer of Short Renal Vessels During Kidney Transplantation. Urol. J, 2009. 6: p. 91111-47.
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[13]	Du, T., et al., A Procedure To Transplant a Kidney with Short Vein Removing by Laparoscopy. 2011: Elsivier’s publisher. p. s352.
[14]	Sinh Ngoc Tran, T. T. N. D., Venous Disposition Procedure (VDP) of The Right Renal Vein After Laparoscopic Donor Nephrectomy -A Simple Procedure. 2011: Glasgow Scotland.
[15]	Tran Ngoc Sinh, D. T. N. T. e. a., A Vascular Disposition Technique For Short Vein Of Graft In Kidney Transplantation. 2012, International Journal of Urology.
[16]	Thu, D. T. N., Evaluate The Vascular Disposition Procedure in Kidney Transplantation from living donor into right iliac fossa. (Đánh giá kỹ thuật chuyển vị mạch máu trong ghép thận từ người cho sống vào hốc chậu phải), in AMBN support for Education and Training. 2012, Ho Chi Minh City Medical and Pharmacy University.
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APA Style

Thu Thi Ngoc Du, Sinh Ngoc Tran. (2019). Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam. International Journal of Clinical Urology, 3(2), 27-35. https://doi.org/10.11648/j.ijcu.20190302.11

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ACS Style

Thu Thi Ngoc Du; Sinh Ngoc Tran. Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam. Int. J. Clin. Urol. 2019, 3(2), 27-35. doi: 10.11648/j.ijcu.20190302.11

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AMA Style

Thu Thi Ngoc Du, Sinh Ngoc Tran. Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam. Int J Clin Urol. 2019;3(2):27-35. doi: 10.11648/j.ijcu.20190302.11

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@article{10.11648/j.ijcu.20190302.11,
  author = {Thu Thi Ngoc Du and Sinh Ngoc Tran},
  title = {Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam},
  journal = {International Journal of Clinical Urology},
  volume = {3},
  number = {2},
  pages = {27-35},
  doi = {10.11648/j.ijcu.20190302.11},
  url = {https://doi.org/10.11648/j.ijcu.20190302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20190302.11},
  abstract = {In this clinical serial, we would like to introduce a surgical technique for kidney transplantation (KTx) from living donor (LD); we call the vessel disposition technique (VDT), with long-term follow-up results. A prospective study at Cho Ray Hospital. The patients underwent the KTx from 1998-2011 and following-up until 2016. There were 201pts., 130 males (64.7%) and 71 females (35.3%). Average age is 33.56 ± 8.62 year old (yo), [15 to 61yo]. We divided it into two groups (at the back table and recipient surgical table): Group A: The Kidney graft (KG) with short vein (≤20 mm) was transplanted on right iliac fossa: 63/201pts. (31.34%), 13/63 from the left (20.63%) and 50/63 from the right (79.37%): the renal vein was dissected, liberated and prolonged; for the right KG, a renal VDT would be done. On the pts., right Gibson incision, made an iliac VDT: dissection of the right iliac vessels (RIV), moved the external iliac vein (IV) to the right side of the external iliac artery; and a termino-lateral venous anastomosis. The renal artery anastomosis would be done as usual. Group B: The KG with the long vein enough (>20 mm) was also transplanted on RIF: 138/201pts (68.66%). Usually, the KG is the left, the KTx was performing as usual, vascular postoperative follow-up by Doppler ultrasound. There wasn’t any surgical vascular complication during the average FU of: 8.0±3.44 years (group A) and 8.79±4.07 years (group B). During the long time follow-up on the serial, the VDT was satisfactory. The KTx from LD was safety for the short KG vein and we could perform on the right side of the pts for the left and the right KG. We could avoid other risky venous reconstructive techniques.},
 year = {2019}
}

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TY  - JOUR
T1  - Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam
AU  - Thu Thi Ngoc Du
AU  - Sinh Ngoc Tran
Y1  - 2019/10/09
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcu.20190302.11
DO  - 10.11648/j.ijcu.20190302.11
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 27
EP  - 35
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20190302.11
AB  - In this clinical serial, we would like to introduce a surgical technique for kidney transplantation (KTx) from living donor (LD); we call the vessel disposition technique (VDT), with long-term follow-up results. A prospective study at Cho Ray Hospital. The patients underwent the KTx from 1998-2011 and following-up until 2016. There were 201pts., 130 males (64.7%) and 71 females (35.3%). Average age is 33.56 ± 8.62 year old (yo), [15 to 61yo]. We divided it into two groups (at the back table and recipient surgical table): Group A: The Kidney graft (KG) with short vein (≤20 mm) was transplanted on right iliac fossa: 63/201pts. (31.34%), 13/63 from the left (20.63%) and 50/63 from the right (79.37%): the renal vein was dissected, liberated and prolonged; for the right KG, a renal VDT would be done. On the pts., right Gibson incision, made an iliac VDT: dissection of the right iliac vessels (RIV), moved the external iliac vein (IV) to the right side of the external iliac artery; and a termino-lateral venous anastomosis. The renal artery anastomosis would be done as usual. Group B: The KG with the long vein enough (>20 mm) was also transplanted on RIF: 138/201pts (68.66%). Usually, the KG is the left, the KTx was performing as usual, vascular postoperative follow-up by Doppler ultrasound. There wasn’t any surgical vascular complication during the average FU of: 8.0±3.44 years (group A) and 8.79±4.07 years (group B). During the long time follow-up on the serial, the VDT was satisfactory. The KTx from LD was safety for the short KG vein and we could perform on the right side of the pts for the left and the right KG. We could avoid other risky venous reconstructive techniques.
VL  - 3
IS  - 2
ER  -

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Author Information

Thu Thi Ngoc Du

Department of Urology at Cho Ray Hospital, Urology Subdivided of Can Tho Medical University, Ho Chi Minh City, Vietnam
Sinh Ngoc Tran

Department of Urology at Cho Ray Hospital, Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam

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APA Style

Thu Thi Ngoc Du, Sinh Ngoc Tran. (2019). Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam. International Journal of Clinical Urology, 3(2), 27-35. https://doi.org/10.11648/j.ijcu.20190302.11

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ACS Style

Thu Thi Ngoc Du; Sinh Ngoc Tran. Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam. Int. J. Clin. Urol. 2019, 3(2), 27-35. doi: 10.11648/j.ijcu.20190302.11

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AMA Style

Thu Thi Ngoc Du, Sinh Ngoc Tran. Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam. Int J Clin Urol. 2019;3(2):27-35. doi: 10.11648/j.ijcu.20190302.11

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@article{10.11648/j.ijcu.20190302.11,
  author = {Thu Thi Ngoc Du and Sinh Ngoc Tran},
  title = {Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam},
  journal = {International Journal of Clinical Urology},
  volume = {3},
  number = {2},
  pages = {27-35},
  doi = {10.11648/j.ijcu.20190302.11},
  url = {https://doi.org/10.11648/j.ijcu.20190302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20190302.11},
  abstract = {In this clinical serial, we would like to introduce a surgical technique for kidney transplantation (KTx) from living donor (LD); we call the vessel disposition technique (VDT), with long-term follow-up results. A prospective study at Cho Ray Hospital. The patients underwent the KTx from 1998-2011 and following-up until 2016. There were 201pts., 130 males (64.7%) and 71 females (35.3%). Average age is 33.56 ± 8.62 year old (yo), [15 to 61yo]. We divided it into two groups (at the back table and recipient surgical table): Group A: The Kidney graft (KG) with short vein (≤20 mm) was transplanted on right iliac fossa: 63/201pts. (31.34%), 13/63 from the left (20.63%) and 50/63 from the right (79.37%): the renal vein was dissected, liberated and prolonged; for the right KG, a renal VDT would be done. On the pts., right Gibson incision, made an iliac VDT: dissection of the right iliac vessels (RIV), moved the external iliac vein (IV) to the right side of the external iliac artery; and a termino-lateral venous anastomosis. The renal artery anastomosis would be done as usual. Group B: The KG with the long vein enough (>20 mm) was also transplanted on RIF: 138/201pts (68.66%). Usually, the KG is the left, the KTx was performing as usual, vascular postoperative follow-up by Doppler ultrasound. There wasn’t any surgical vascular complication during the average FU of: 8.0±3.44 years (group A) and 8.79±4.07 years (group B). During the long time follow-up on the serial, the VDT was satisfactory. The KTx from LD was safety for the short KG vein and we could perform on the right side of the pts for the left and the right KG. We could avoid other risky venous reconstructive techniques.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Vessel Disposition Technique in Kidney Transplantation: Long-term Follow-up at Cho Ray Hospital, Vietnam
AU  - Thu Thi Ngoc Du
AU  - Sinh Ngoc Tran
Y1  - 2019/10/09
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcu.20190302.11
DO  - 10.11648/j.ijcu.20190302.11
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 27
EP  - 35
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20190302.11
AB  - In this clinical serial, we would like to introduce a surgical technique for kidney transplantation (KTx) from living donor (LD); we call the vessel disposition technique (VDT), with long-term follow-up results. A prospective study at Cho Ray Hospital. The patients underwent the KTx from 1998-2011 and following-up until 2016. There were 201pts., 130 males (64.7%) and 71 females (35.3%). Average age is 33.56 ± 8.62 year old (yo), [15 to 61yo]. We divided it into two groups (at the back table and recipient surgical table): Group A: The Kidney graft (KG) with short vein (≤20 mm) was transplanted on right iliac fossa: 63/201pts. (31.34%), 13/63 from the left (20.63%) and 50/63 from the right (79.37%): the renal vein was dissected, liberated and prolonged; for the right KG, a renal VDT would be done. On the pts., right Gibson incision, made an iliac VDT: dissection of the right iliac vessels (RIV), moved the external iliac vein (IV) to the right side of the external iliac artery; and a termino-lateral venous anastomosis. The renal artery anastomosis would be done as usual. Group B: The KG with the long vein enough (>20 mm) was also transplanted on RIF: 138/201pts (68.66%). Usually, the KG is the left, the KTx was performing as usual, vascular postoperative follow-up by Doppler ultrasound. There wasn’t any surgical vascular complication during the average FU of: 8.0±3.44 years (group A) and 8.79±4.07 years (group B). During the long time follow-up on the serial, the VDT was satisfactory. The KTx from LD was safety for the short KG vein and we could perform on the right side of the pts for the left and the right KG. We could avoid other risky venous reconstructive techniques.
VL  - 3
IS  - 2
ER  -

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