Case Report of Living Kidney Transplantation Using Ectopic Pelvic Kidney Harvested by Reduced Port Laparoscopic Donor Nephrectomy

A 28-year-old woman was diagnosed as having an ectopic kidney in adolescence. She desired to donate her ectopic kidney to her mother, who was diagnosed as having renal failure. The ectopic kidney was located behind the sigmoid colon with 3 renal arteries and 3 renal veins. Laparoscopic donor nephrec...

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Bibliographic Details
Published in:Transplantation proceedings 2018-12, Vol.50 (10), p.3917-3919
Main Authors: Miyauchi, Y., Noda, T., Miura, N., Kikugawa, T., Saika, T.
Format: Article
Language:English
Subjects:
Adult
Choristoma - surgery
Female
Female Urogenital Diseases - surgery
Humans
Kidney
Kidney Transplantation - methods
Laparoscopy - methods
Living Donors
Nephrectomy - methods
Pelvis - surgery
Tissue and Organ Harvesting - methods
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Summary:A 28-year-old woman was diagnosed as having an ectopic kidney in adolescence. She desired to donate her ectopic kidney to her mother, who was diagnosed as having renal failure. The ectopic kidney was located behind the sigmoid colon with 3 renal arteries and 3 renal veins. Laparoscopic donor nephrectomy was performed by reduced port surgery using the GelPOINT access platforms at a midline incision below the umbilicus with 1 accessory port. A thin artery of the donated kidney was ligated. An artery of the upper pole was anastomosed to the internal iliac artery, and a second artery was anastomosed directly to the inferior epigastric artery. Three veins were anastomosed to the external iliac vein: 1 anastomosed directly, 1 interposed by saphenous vein graft, and 1 interposed by harvested ovarian vein. To our knowledge, this is the first successful case of transplantation using an ectopic pelvic kidney by reduced port laparoscopic donor nephrectomy. •Laparoscopic donor nephrectomy of ectopic pelvic kidney was performed.•Operation was performed with reduced port procedure.•Complex vascular reconstruction was required.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2018.06.016