Ipsilateral portal enteric drained pancreas-kidney transplantation: a novel technique.
In conventionally described simultaneous pancreas-kidney transplantation with portoenteric drainage, renal revascularization is derived from the left iliac vessels and pancreatic revascularization, from the right iliac artery. A newer technique utilizing the right iliac artery as a single inflow to both organs is described in six patients herein. The technique is less time-consuming and tedious than the standard method, which involves dissection of both iliac vessels. Advantages include shortened dissection time and preservation of the contralateral side for future use.
Nghiem
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DD
Division of Transplantation Services Allegheny General Hospitak, Pittsburgh, Pennsylvania 15212, USA. dnghiem@wpahs.org
D000293:Adolescent; D000328:Adult; D003920:Diabetes Mellitus / Q000601:surgery; D003928:Diabetic Nephropathies / Q000601:surgery; D004322:Drainage; D007839:Functional Laterality; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D016035:Pancreas Transplantation / Q000379:methods*; D011169:Portal Vein / Q000601:surgery*; D014019:Tissue Donors / Q000706:statistics & numerical data; D016896:Treatment Outcome