Annals of Surgical Treatment and Research  2017;92(3):168-172

doi:10.4174/astr.2017.92.3.168

En bloc transplantation of horseshoe kidney in Korea.

Jun Bae BANG 1 ; Jae Myeong LEE ; Chang Kwon OH ; Kyo Won LEE ; Jae Berm PARK ; Sung Joo KIM ; Su Hyung LEE

Affiliations

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Keywords

Kidney transplantation; Horseshoe kidney; En bloc kidney transplantation

Country

Republic of Korea

Language

English

Abstract

Transplantation of the horseshoe kidney can be performed en bloc or split into 2 grafts according to the vascular anomaly and the existence of the urinary collecting system in isthmus. From 2011 to 2014, there were 3 horseshoe kidney transplantations in Korea and transplantations were performed at 2 different centers. The transplantations were carried out successfully for all recipients without complications. All recipients have shown good graft kidney function after transplantation. No severe complication was revealed during follow-up period. We described the surgical technique used in the en bloc method to overcome various vascular anomalies and difficulties in choosing cannulation site and postoperative complications. En bloc transplantation of a horseshoe kidney is a useful strategy for patients with end-stage renal disease, and can provide favorable outcomes compared to the transplantation of a normal kidney.