Split technique in horseshoe kidney transplantation.
OBJECTIVE
Nowadays, owing to a greater number of patients waiting for a kidney donation and to a shortage of organs donated, more suitable organ acceptance criteria have been formulated. Horseshoe kidney transplantations have become feasible giving good allograft outcomes. The aim of this paper is to illustrate the split technique in horseshoe kidney transplantation and to report long-term results.


METHODS
During the period from February 2004 to February 2005, two horseshoe kidneys were harvested from multiple organ retrieval. The surgical features and outcomes of these 2 cases are described separately. Mean follow-up time was 12.3 months.


CONCLUSIONS
Organs that were previously said to be marginal are being used more regularly and the more suitable selection does not exclude elderly donors with or without underlying diseases. Horseshoe kidney transplantation requires greater skills and experience of the surgeons compared to conventional kidney transplantation. This kind of renal abnormality has to be considered a feasible option for transplantation. Good long-term results are reported.
Pedro
Renato Nardi
RN
Hospital de Clínicas, State University of Campinas, UNICAMP, Department of Urology, Division of Kidney Transplantation, Campinas, São Paulo, Brazil. rnpedro@gmail.com
Leitão
Victor A
VA
Miyaoka
Ricardo
R
Myiaoka
Ricardo
R
Fregonesi
Adriano
A
Villas Boas
Cláudio C
CC
Reges
Ricardo
R
Matheus
Wagner E
WE
Netto
Nelson Rodrigues
NR
D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D016030:Kidney Transplantation / Q000379:methods*