title: Selective approach for venous drainage in right iliac vein and cava vein for combined pancreas-kidney transplantation.
abstract: In this paper, the authors evaluate if the use of a venous drainage system in the cava vein (instead of the external iliac vein) presents differences in pancreatic transplantation. Between December 2000 and 2004, 105 pancreas-kidney transplants were performed. Patients in group A (n=49) underwent complete liberation of the right iliac vein for venous drainage. In group B (n=56), the venous drainage system was placed in the cava vein or in the confluence. Analyzed clinical parameters included: insulin replacement, vascular thrombosis in the graft, intraabdominal collections, graft loss, reoperation, and deaths. When compared to the external iliac vein, venous drainage to the cava vein did not result in significant differences. Venous drainage to the cava vein is a valuable alternative when the right iliac fossa has been previously approached. It is a practical, rapid procedure and it is not necessary to expose the internal iliac vein.
authors.affiliation: Discipline of Gastric Surgery, Department of Surgery, Federal University of São, São Paulo, Brazil.
authors.forename: Adriano Miziara
authors.initials: AM
authors.lastname: Gonzalez
authors.forename: Vladimir
authors.initials: V
authors.lastname: Schraibman
authors.forename: Marcelo Moura
authors.initials: MM
authors.lastname: Linhares
authors.forename: Maria Helena Garcez
authors.initials: MH
authors.lastname: Silva
authors.forename: Rita Maria Aparecida
authors.initials: RM
authors.lastname: Monteiro
authors.forename: Mario G
authors.initials: MG
authors.lastname: Duran
authors.forename: Alcidez Augusto Salzedas
authors.initials: AA
authors.lastname: Neto
authors.forename: Tarcísio
authors.initials: T
authors.lastname: Triviño
authors.forename: Claudio
authors.initials: C
authors.lastname: Melaragno
authors.forename: Erica B
authors.initials: EB
authors.lastname: Rangel
authors.forename: João Roberto
authors.initials: JR
authors.lastname: de Sá
authors.forename: Gaspar de Jesus Lopes
authors.initials: Gde J
authors.lastname: Filho
authors.forename: José Osmar Medina
authors.initials: JO
authors.lastname: Pestana
mesh_terms: D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008099:Liver / Q000098:blood supply* / Q000601:surgery*; D008297:Male; D010179:Pancreas / Q000098:blood supply* / Q000601:surgery*; D016035:Pancreas Transplantation; D012189:Retrospective Studies; D014680:Veins / Q000601:surgery*