Simultaneous pancreas-kidney transplantation utilizing a common arterial conduit: early experience and potential applications.
Simultaneous pancreas-kidney transplantation has gained acceptance as a therapeutic modality for patients with end-stage renal disease secondary to diabetes mellitus. In some instances, performing the procedure as conventionally described with renal revascularization from the left iliac vessels and pancreatic arterial inflow from the right iliac vessels may be difficult or undesirable. We describe our experience with an alternate operative technique utilizing a single arterial conduit to vascularize both organs. We believe that this technique may be of use in certain patients undergoing simultaneous pancreas-kidney transplantation.
Tso
Paul L
PL
Department of Surgery, Emory University, Atlanta, GA 30322, USA. paul_tso@emoryhealthcare.org
Cash
Michael P
MP
Pearson
Thomas C
TC
Larsen
Christian P
CP
Newell
Kenneth A
KA
D000714:Anastomosis, Surgical; D001158:Arteries / Q000473:pathology*; D048909:Diabetes Complications; D006801:Humans; D007668:Kidney / Q000033:anatomy & histology / Q000098:blood supply; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation / Q000379:methods*; D008953:Models, Anatomic; D010179:Pancreas / Q000033:anatomy & histology / Q000098:blood supply; D016035:Pancreas Transplantation / Q000379:methods*; D011183:Postoperative Complications; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods*