J Korean Soc Transplant.  2007 Dec;21(2):307-309.

Third Kidney Transplantation, Transperitoneal Approach

• Kim HT
• Lee HJ
• Cho WH

Abstract

The results of the third kidney transplantation were complicated owing to previous multiple surgeries. Majority of the third kidney graft have been placed in the iliac fossa after removal of failed previous graft. This technique resulted in bloody dissection and high lympho-vascular complications. Recently, we successfully performed a third kidney transplantation without removal of the failed previous graft. Through the abdominal midline incision, right retroperitoneal space was approached by dissection of cecum and ascending colon to medial reflection. Renal artery was anastomosed to the side of right common iliac artery and renal vein to the side of distal inferior vena cava. After minimum dissection of patient's native ureter, ureteroureterostomy was done over the "double J" catheter. Posttransplant hospital course was uneventful and discharged at 25th postoperative day. Because of naive surgical plane approached through, our procedure would not encounter more complications than usual first or second kidney transplantation.

Keyword

Kidney transplantation; Reoperation; Surgery

MeSH Terms

Catheters
Cecum
Colon, Ascending
Iliac Artery
Kidney Transplantation*
Kidney*
Renal Artery
Renal Veins
Reoperation
Retroperitoneal Space
Transplants
Ureter
Vena Cava, Inferior