[Vascular anatomy of donor and recipient in living kidney transplantation].
OBJECTIVE
To review the vascular anatomy of the donor and the recipient for the living kidney transplantation.


METHODS
The recent literature about the vessels of donor and recipient in clinical applications was extensively reviewed.


RESULTS
The pertinent vascular anatomy of the donor and recipient was essential for the screening of the proper candidates, surgical planning and long-term outcome. Early branching and accessory renal artery of the donor were particularly important to deciding the side of nephrectomy, surgical technique and anastomosing pattern, and their injuries were the most frequent factor of the conversion from laparoscopic to open surgery. With increase of laparoscopic nephrectomy in donors, accurate venous anatomy was paid more and more attention to because venous bleeding could also lead to conversion to open nephrectomy. Multidetector CT (MDCT) could supplant the conventional excretory urography and renal catheter angiography and could accurately depict the donors' vessels, vascular variations. In addition, MDCT can excellently evaluate the status of donor kidney, collecting system and other pertinent anatomy details.


CONCLUSIONS
Accurate master of related vascular anatomy can facilitate operation plan and success of operation and can contribute to the rapid development of living donor kidney transplantation. MDCT has become the choice of preoperative one-stop image assessment for living renal donors.
Zhang
Jiqing
J
Department of Urology, Beijing Chaoyang Hospital Affiliated to Capital Medicine University, Beijing, 100020, PR China.
Zhang
Xiaodong
X
D006801:Humans; D007083:Iliac Artery / Q000033:anatomy & histology; D007084:Iliac Vein / Q000033:anatomy & histology; D007668:Kidney / Q000098:blood supply* / Q000000981:diagnostic imaging; D016030:Kidney Transplantation; D019520:Living Donors; D011859:Radiography