RT Book, Section
A1 Miyara, Santiago J
A1 McCann-Molmenti, Alexia
A1 Guevara, Sara
A1 Molmenti, Ernesto
A2 Molmenti, Ernesto Pompeo
SR Print(0)
ID 1194189346
T1 Iliac Vessel Transposition at the Time of Implantation of Right and Left Kidneys
T2 Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781260474275
LK accesssurgery.mhmedical.com/content.aspx?aid=1194189346
RD 2024/09/13
AB For  both  live  and  deceased  donors,  we  routinely  implant  right  kidney  grafts  without  performing  a  venous  reconstruction.As  shown  in  the  diagrams  below,  we  transpose  the  external  iliac  vessels  after  mobilizing  them.This  allows  us  to  anastomose  the  short  right  renal  vein  onto  the  external  iliac  vein  that  is  now  lateral  with  respect  to  the  external  iliac  artery.The  renal  artery  is  then  anastomosed  onto  the  recipient  transposed  external  iliac  artery,  that  is  easily  approachable.We  also  routinely  perform  a  transposition  of  the  iliac  vessels  for  the  implantation  of  left  kidneys,  since  this  arrangement  prevents  the  crossing  over  of  the  renal  vein  with  respect  to  the  iliac  vein  and  a  better  visualization  of  the  iliac  artery  at  the  time  of  anastomosis  with  the  renal  artery.