title: Horseshoe kidney for transplantation: technical considerations.
abstract: Owing to the ongoing shortage of cadaver organs, kidneys with an atypical anatomy such as horseshoe kidneys must be considered for transplantation. Owing to its low prevalence, experience with the transplantation of a horseshoe kidney is very limited. This article reports on the transplantation of a horseshoe kidney to a 58-year-old man with renal failure from chronic glomerulonephritis. Because of a relatively thick isthmus, which indicated a complex urinary collecting and intrarenal vessel system, the kidney was transplanted en bloc. Together with optimal placement of the kidney, only adequate length and positioning of the vessels, especially the venous drainage, could prevent postoperative complications such as kinking of the vessels and thrombosis. These problems could be solved by cutting the renal veins without using a vena cava patch. Careful positioning of the kidney within the intraperitoneal cavity is also necessary. The decision to transplant the kidney en bloc or after separation depends on many factors and should be made individually.
authors: Department of Visceral, Transplantation, Vascular and Thoracic Surgery, University Hospital of Leipzig, Leipzig, Germany. HansMichael.Hau@medizin.uni-leipzig.de
authors: Hans-Michael
authors: HM
authors: Hau
authors: Haluk Mehmet
authors: HM
authors: Morgul
authors: Dirk
authors: D
authors: Uhlmann
authors: Armin
authors: A
authors: Thelen
authors: Peter
authors: P
authors: Fellmer
authors: Christoph
authors: C
authors: Benckert
authors: Hans-Michael
authors: HM
authors: Tautenhahn
authors: Michael
authors: M
authors: Bartels
authors: Sven
authors: S
authors: Jonas
mesh_terms: D001794:Blood Pressure / Q000502:physiology; D003404:Creatinine / Q000097:blood; D005921:Glomerulonephritis / Q000601:surgery*; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000502:physiology / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D051437:Renal Insufficiency / Q000601:surgery*; D009927:Tissue and Organ Procurement / Q000592:standards; D016896:Treatment Outcome
chemical_list: D003404:Creatinine