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- W2363589868 abstract "Objective To study the clinic experience of vascular reconstruction in living donor kidney transplantation(LDKT) of a single center.Methods Sixty-nine cases of LDKT were performed using routine vascular reconstruction procedures established in our center from Dec.2005 to Nov.2008.Donor operations were performed using open surgery with small lumbar incision.Vascular punch(4 mm) was used to make anastomosis hole in external illiac artery.All the upper polar or lower polar accessory artery was reconstructed using the recipients' inferior epigastric artery or its graft(n=6).In case of double renal arteries there were three methods to reconstruct(n=3).The internal illiac artery grafts of the recipients were used to reconstruct triple arteries of the renal grafts ex vivo(n=2).In case of multiple renal veins,the smaller ones were simply ligated and reconstruction was performed when the two renal veins had the same size.Donor inferior vena cava patch(1-2 mm in width,right kidney) or adrenal vein(left kidney) was used to make wider venous anastomosis.Results All the anastomoses were perfomed successfully without repeating.The patency of the anastomoses was 100% at the reperfusion.Both donors and recipients recovered smoothly.No complication related to vascular reconstruction either of artery or of vein was observed in this study.The follow-up time was 1 to 36 months.All the recipients survived with creatine levels of 70-150 μmol/L except one with 250-300 μmol/L.Conclusion The routine vascular reconstruction procedures established is safe,effective and easy to performed.Either multiple arteries or multiple veins can be reconstructed successfully without increasing the vascular complication in LDKT." @default.
- W2363589868 created "2016-06-24" @default.
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- W2363589868 date "2009-01-01" @default.
- W2363589868 modified "2023-09-26" @default.
- W2363589868 title "Vascular reconstruction in living donor kidney transplantation" @default.
- W2363589868 hasPublicationYear "2009" @default.
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