Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac artery
BackgroundLaparoscopic living donor nephrectomy (LLDN) is the preferred technique for living donor kidney transplantation, but multiple renal arteries pose challenges due to increased surgical complexity. While cases with up to seven renal arteries have been reported, the occurrence of kidneys with...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1553478/full |
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| author | Chenzhen Yu Chenzhen Yu Chenzhen Yu Limin Zhang Limin Zhang Limin Zhang Chunhui Lv Chunhui Lv Chunhui Lv Sheng Chang Sheng Chang Sheng Chang Gang Chen Gang Chen Gang Chen Zhishui Chen Zhishui Chen Zhishui Chen Weijie Zhang Weijie Zhang Weijie Zhang Daqiang Zhao Daqiang Zhao Daqiang Zhao |
| author_facet | Chenzhen Yu Chenzhen Yu Chenzhen Yu Limin Zhang Limin Zhang Limin Zhang Chunhui Lv Chunhui Lv Chunhui Lv Sheng Chang Sheng Chang Sheng Chang Gang Chen Gang Chen Gang Chen Zhishui Chen Zhishui Chen Zhishui Chen Weijie Zhang Weijie Zhang Weijie Zhang Daqiang Zhao Daqiang Zhao Daqiang Zhao |
| author_sort | Chenzhen Yu |
| collection | DOAJ |
| description | BackgroundLaparoscopic living donor nephrectomy (LLDN) is the preferred technique for living donor kidney transplantation, but multiple renal arteries pose challenges due to increased surgical complexity. While cases with up to seven renal arteries have been reported, the occurrence of kidneys with more than three renal arteries is extremely rare. This report presents a successful retroperitoneoscopic nephrectomy in a living donor with five renal arteries, a case not previously detailed in the literature.Case reportA 65-year-old female donor with five left renal arteries underwent retroperitoneoscopic LLDN. The kidney was reconstructed ex vivo using the recipient's internal iliac artery trunk and its branches. Vascular reconstruction was achieved by anastomosing the donor's renal arteries to the recipient's iliac artery branches, forming a single arterial ostium, which was then anastomosed to the recipient's external iliac artery. The recipient, a 33-year-old male, also underwent concurrent repair of a left inguinal hernia. Postoperative outcomes were excellent, with immediate graft function, no dialysis requirement, and stable renal function at 60 days post-transplant.ConclusionThis case demonstrates that retroperitoneoscopic LLDN for kidneys with five renal arteries is technically feasible and safe. It highlights the utility of the recipient's internal iliac artery for ex vivo reconstruction, expanding the potential for successful transplantation in complex anatomical scenarios. |
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| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj-art-4544bc2a9952489e9a23437dbb85bc152025-08-20T03:55:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.15534781553478Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac arteryChenzhen Yu0Chenzhen Yu1Chenzhen Yu2Limin Zhang3Limin Zhang4Limin Zhang5Chunhui Lv6Chunhui Lv7Chunhui Lv8Sheng Chang9Sheng Chang10Sheng Chang11Gang Chen12Gang Chen13Gang Chen14Zhishui Chen15Zhishui Chen16Zhishui Chen17Weijie Zhang18Weijie Zhang19Weijie Zhang20Daqiang Zhao21Daqiang Zhao22Daqiang Zhao23Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaInstitute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaInstitute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaInstitute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaInstitute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaInstitute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaInstitute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaInstitute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Organ Transplantation, Ministry of Education, Chinese Academy of Medical Sciences, Wuhan, ChinaNHC Key Laboratory of Organ Transplantation, Wuhan, ChinaBackgroundLaparoscopic living donor nephrectomy (LLDN) is the preferred technique for living donor kidney transplantation, but multiple renal arteries pose challenges due to increased surgical complexity. While cases with up to seven renal arteries have been reported, the occurrence of kidneys with more than three renal arteries is extremely rare. This report presents a successful retroperitoneoscopic nephrectomy in a living donor with five renal arteries, a case not previously detailed in the literature.Case reportA 65-year-old female donor with five left renal arteries underwent retroperitoneoscopic LLDN. The kidney was reconstructed ex vivo using the recipient's internal iliac artery trunk and its branches. Vascular reconstruction was achieved by anastomosing the donor's renal arteries to the recipient's iliac artery branches, forming a single arterial ostium, which was then anastomosed to the recipient's external iliac artery. The recipient, a 33-year-old male, also underwent concurrent repair of a left inguinal hernia. Postoperative outcomes were excellent, with immediate graft function, no dialysis requirement, and stable renal function at 60 days post-transplant.ConclusionThis case demonstrates that retroperitoneoscopic LLDN for kidneys with five renal arteries is technically feasible and safe. It highlights the utility of the recipient's internal iliac artery for ex vivo reconstruction, expanding the potential for successful transplantation in complex anatomical scenarios.https://www.frontiersin.org/articles/10.3389/fmed.2025.1553478/fullmultiple renal arterieslaparoscopic living donor nephrectomykidney transplantationvascular reconstructioncase report |
| spellingShingle | Chenzhen Yu Chenzhen Yu Chenzhen Yu Limin Zhang Limin Zhang Limin Zhang Chunhui Lv Chunhui Lv Chunhui Lv Sheng Chang Sheng Chang Sheng Chang Gang Chen Gang Chen Gang Chen Zhishui Chen Zhishui Chen Zhishui Chen Weijie Zhang Weijie Zhang Weijie Zhang Daqiang Zhao Daqiang Zhao Daqiang Zhao Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac artery Frontiers in Medicine multiple renal arteries laparoscopic living donor nephrectomy kidney transplantation vascular reconstruction case report |
| title | Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac artery |
| title_full | Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac artery |
| title_fullStr | Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac artery |
| title_full_unstemmed | Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac artery |
| title_short | Case Report: Successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back-table vascular reconstruction using the recipient's internal iliac artery |
| title_sort | case report successful transplantation of a living donor kidney with five renal arteries procured via laparoscopy and back table vascular reconstruction using the recipient s internal iliac artery |
| topic | multiple renal arteries laparoscopic living donor nephrectomy kidney transplantation vascular reconstruction case report |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1553478/full |
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