title: Case report of cadaveric kidney transplantation with renal-portal venous drainage: A feasible way for a venous drainage in a complex generalized thrombosed vessels setting.
abstract: BACKGROUND
  One of the frequent complications suffered by patients with chronic renal failure is the lack of vascular access due to venous thrombosis. This means that the transplant surgeon must have a detailed knowledge of the intra-abdominal venous system, and other alternative surgeries, at the time of performing the renal graft implant, in order to ensure a good venous drainage.
  
  
  METHODS
  This article provides a case report regarding a patient with no vascular access and with surgical difficulties at the time of the kidney transplant, in whom a renal-portal venous drainage was performed with very good outcome.
  
  
  CONCLUSIONS
  Renal-portal venous drainage is a way to performe kidney transplant with good outcome. In Fundación Valle del Lili we have overcome the lack of vascular access in patients that need a renal transplant by new surgical technics that improve the patients quality of life and survival.
  
  
  CONCLUSIONS
  We can conclude that new surgical alternatives exist for those patients with chronic renal failure that have no vascular access. These patients are a priority for kidney transplants and the surgeon must take in to account the need for a new surgical assessment.
authors.affiliation: ICESI University, Cali, Colombia.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Millan
authors.affiliation: Fundación Valle del Lili, CICAT (Centro para la Investitigacion en Cirugia Avanzada y Trasplantes), ICESI University, Cali, Colombia.
authors.forename: Luis A
authors.initials: LA
authors.lastname: Caicedo
authors.affiliation: Fundación Valle del Lili, CICAT (Centro para la Investitigacion en Cirugia Avanzada y Trasplantes), ICESI University, Cali, Colombia.
authors.forename: Jorge I
authors.initials: JI
authors.lastname: Villegas
authors.affiliation: Fundación Valle del Lili, CICAT (Centro para la Investitigacion en Cirugia Avanzada y Trasplantes), ICESI University, Cali, Colombia.
authors.forename: Oscar
authors.initials: O
authors.lastname: Serrano
authors.affiliation: ICESI University, Cali, Colombia.
authors.forename: Liliana
authors.initials: L
authors.lastname: Caicedo
authors.affiliation: ICESI University, Cali, Colombia.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Duque
authors.affiliation: Fundación Valle del Lili, Calí, Colombia.
authors.forename: Laura S
authors.initials: LS
authors.lastname: Thomas
authors.affiliation: Fundación Valle del Lili, CICAT (Centro para la Investitigacion en Cirugia Avanzada y Trasplantes), ICESI University, Cali, Colombia. Electronic address: gjechverri@icesi.edu.co.
authors.forename: Gabriel J
authors.initials: GJ
authors.lastname: Echeverri
keywords: Adhesions; Laparotomy; Portal vein; Renal graft