Selective approach for venous drainage in right iliac vein and cava vein for combined pancreas-kidney transplantation.
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.
Gonzalez
Adriano Miziara
AM
Discipline of Gastric Surgery, Department of Surgery, Federal University of São, São Paulo, Brazil.
Schraibman
Vladimir
V
Linhares
Marcelo Moura
MM
Silva
Maria Helena Garcez
MH
Monteiro
Rita Maria Aparecida
RM
Duran
Mario G
MG
Neto
Alcidez Augusto Salzedas
AA
Triviño
Tarcísio
T
Melaragno
Claudio
C
Rangel
Erica B
EB
de Sá
João Roberto
JR
Filho
Gaspar de Jesus Lopes
Gde J
Pestana
José Osmar Medina
JO
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*