Horseshoe kidney transplantation: a report of 2 cases
10.3760/cma.j.cn421203-20230913-00090
- VernacularTitle:马蹄肾移植2例
- Author:
Qiong CHEN
1
;
Yehong YAN
;
Zeyu CAI
;
Jialiang HAN
;
Xingjian ZHANG
;
Qi XIAO
Author Information
1. 南昌大学第一附属医院普外科 南昌大学第一临床医学院，南昌 330006
- Keywords:
Kidney transplantation;
Horseshoe kidney;
Evaluation
- From:
Chinese Journal of Organ Transplantation
2024;45(11):807-810
- CountryChina
- Language:Chinese
-
Abstract:
To explore the feasibility and experience of kidney transplantation with horseshoe kidney as donor kidney. The horseshoe kidney donated by a brain dead donor was obtained by in-situ perfusion and whole piece incision. After methylene blue staining was injected into the inferior pole artery of the kidney and separated from the isthmus along the edge of the stained site, two kidney donors were divided into two recipients with successful implantation. After renal transplantation, the blood supply of the two donor kidneys was good. During the perioperative period, there was no bleeding or urine leakage. Postoperative ureteral obstruction occurred in one recipient. After the double J-tube drainage was ineffective, autologous ureter was anastomoted with the renal pelvis of the transplanted kidney. Up to now, the renal function of two recipients remained stable. According to literature analysis, kidney transplantation with well-functioning horseshoe kidney as donor kidney is safe and feasible, but its postoperative complication rate is higher than that of conventional kidney transplantation.
