已故供肾移植中右肾静脉的延伸：本中心的文献回顾和分析。

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-01-01 DOI:10.1016/j.transproceed.2024.11.033

Sergio Martín Prieto Millán, Oskar Jon Estradé Suárez, Ana Isabel Llorente García, Joel Sanz Casero, Andrea Carlevaris Fernández, Iván Olano Grasa, Jorge García- Olavarri Rodríguez, Beatriz Martínez González, Jesús Padilla Nieva, David Lecumberri Castaños

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引用次数: 0

摘要

右肾静脉的长度是肾移植中一个至关重要的血管因素。其长度较左肾静脉短，使静脉吻合复杂。本文的目的是回顾有关该主题的文献，并提供来自我们经验的数据。材料和方法：在PubMed中使用关键词“肾移植”、“已故供体”、“右肾”和“肾静脉延伸”进行文献综述。本文选取并分析了3项评价右肾静脉扩张在移植中的可行性及临床效果的研究。此外，回顾性分析了2023年在克鲁塞斯大学医院进行的肾脏移植手术，重点分析了使用腔静脉贴片延伸技术的病例。评估手术时间、血管并发症、移植物活力和术后肾功能等参数。结果：回顾研究表明，右肾静脉扩张术安全有效，可方便手术，缩短热缺血时间，减少肾动脉扭结等并发症的发生。我们中心在2023年的移植分析也显示了类似的结果，简化了程序，没有增加并发症的风险。结论：用腔静脉补片扩张右肾静脉是一种有效的技术，不会增加发病率或损害移植物的生存能力，改善了长期的临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Extension of the Right Renal Vein in Deceased Donor Kidney Transplantation: A Literature Review and Analysis at Our Center

Introduction

The length of the right renal vein is a crucial vascular factor in kidney transplantation. Its shorter length compared to the left renal vein complicates venous anastomosis. The aim of this article is to review the literature on this topic and provide data from our experience.

Materials and Methods

A bibliographic review was conducted in PubMed using the keywords “kidney transplant,” “deceased donor,” “right kidney,” and “renal vein extension.” Three studies evaluating the feasibility and clinical outcomes of right renal vein extension in transplants were selected and analyzed. Additionally, a retrospective analysis of kidney transplants performed at Hospital Universitario Cruces in 2023 was carried out, focusing on cases where the technique of extending with a vena cava patch was used. Parameters such as surgical time, vascular complications, graft viability, and postoperative renal function were evaluated.

Results

The reviewed studies indicate that the extension of the right renal vein is safe and effective, facilitating surgery and reducing warm ischemia time as well as the incidence of complications such as renal artery kinking. The analysis of transplants at our center in 2023 showed similar results, with a simplified procedure and no increase in the risk of complications.

Conclusion

The extension of the right renal vein with a vena cava patch is an effective technique that does not increase morbidity or compromise graft viability, improving long-term clinical outcomes.

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来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.