The Significance of the Circumaortic Left Renal Vein and Other Venous Variations in Laparoscopic Living Donor Nephrectomies
Abstract Among the several vascular variation those concerning the venous system of the kidneys show the most significant variability. They often play an important role when it comes to choosing the kidney to be removed for transplantation. Based on our prior studies, we have surveyed these variatio...
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Veröffentlicht in: | Transplantation proceedings 2011-05, Vol.43 (4), p.1230-1232 |
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description | Abstract Among the several vascular variation those concerning the venous system of the kidneys show the most significant variability. They often play an important role when it comes to choosing the kidney to be removed for transplantation. Based on our prior studies, we have surveyed these variations. When performing a laparoscopic living donor nephrectomy owing to the limited field of vision and the restricted possibilities for preparation, preoperative radiologic planning is of utmost importance. We evaluated 55 donors who underwent laparoscopic nephrectomies using the 16-section multidetector-row computed tomography angiography. Among the donors who underwent surgeries we observed circumaortic veins (CAV) in three cases, retroaortic veins in 6 cases, multiple renal veins in 10 cases, and a lumbar vein draining into the left renal vein (RV) in 30 cases. In the 2 cases wherein CAVs were discovered, the team decided to use the other kidney. In 1 case, due to a short right RV, we chose the left kidney. The complex development of the CAV that is sometimes difficult to reconstruct in 3D poses a challenge for both the radiologist and the surgeon. |
doi_str_mv | 10.1016/j.transproceed.2011.03.069 |
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They often play an important role when it comes to choosing the kidney to be removed for transplantation. Based on our prior studies, we have surveyed these variations. When performing a laparoscopic living donor nephrectomy owing to the limited field of vision and the restricted possibilities for preparation, preoperative radiologic planning is of utmost importance. We evaluated 55 donors who underwent laparoscopic nephrectomies using the 16-section multidetector-row computed tomography angiography. Among the donors who underwent surgeries we observed circumaortic veins (CAV) in three cases, retroaortic veins in 6 cases, multiple renal veins in 10 cases, and a lumbar vein draining into the left renal vein (RV) in 30 cases. In the 2 cases wherein CAVs were discovered, the team decided to use the other kidney. In 1 case, due to a short right RV, we chose the left kidney. The complex development of the CAV that is sometimes difficult to reconstruct in 3D poses a challenge for both the radiologist and the surgeon.</description><identifier>ISSN: 0041-1345</identifier><identifier>EISSN: 1873-2623</identifier><identifier>DOI: 10.1016/j.transproceed.2011.03.069</identifier><identifier>PMID: 21620097</identifier><identifier>CODEN: TRPPA8</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Female ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Humans ; Hungary ; Kidney - blood supply ; Kidney - surgery ; Kidney Transplantation ; Kidneys ; Laparoscopy ; Living Donors ; Male ; Malformations of the urinary system ; Medical sciences ; Middle Aged ; Nephrectomy - methods ; Nephrology. Urinary tract diseases ; Renal Veins - abnormalities ; Renal Veins - diagnostic imaging ; Renal Veins - surgery ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Tissue, organ and graft immunology ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult</subject><ispartof>Transplantation proceedings, 2011-05, Vol.43 (4), p.1230-1232</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. 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They often play an important role when it comes to choosing the kidney to be removed for transplantation. Based on our prior studies, we have surveyed these variations. When performing a laparoscopic living donor nephrectomy owing to the limited field of vision and the restricted possibilities for preparation, preoperative radiologic planning is of utmost importance. We evaluated 55 donors who underwent laparoscopic nephrectomies using the 16-section multidetector-row computed tomography angiography. Among the donors who underwent surgeries we observed circumaortic veins (CAV) in three cases, retroaortic veins in 6 cases, multiple renal veins in 10 cases, and a lumbar vein draining into the left renal vein (RV) in 30 cases. In the 2 cases wherein CAVs were discovered, the team decided to use the other kidney. In 1 case, due to a short right RV, we chose the left kidney. The complex development of the CAV that is sometimes difficult to reconstruct in 3D poses a challenge for both the radiologist and the surgeon.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Humans</subject><subject>Hungary</subject><subject>Kidney - blood supply</subject><subject>Kidney - surgery</subject><subject>Kidney Transplantation</subject><subject>Kidneys</subject><subject>Laparoscopy</subject><subject>Living Donors</subject><subject>Male</subject><subject>Malformations of the urinary system</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrectomy - methods</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Renal Veins - abnormalities</subject><subject>Renal Veins - diagnostic imaging</subject><subject>Renal Veins - surgery</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Psychology</topic><topic>Fundamental immunology</topic><topic>Humans</topic><topic>Hungary</topic><topic>Kidney - blood supply</topic><topic>Kidney - surgery</topic><topic>Kidney Transplantation</topic><topic>Kidneys</topic><topic>Laparoscopy</topic><topic>Living Donors</topic><topic>Male</topic><topic>Malformations of the urinary system</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrectomy - methods</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Renal Veins - abnormalities</topic><topic>Renal Veins - diagnostic imaging</topic><topic>Renal Veins - surgery</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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They often play an important role when it comes to choosing the kidney to be removed for transplantation. Based on our prior studies, we have surveyed these variations. When performing a laparoscopic living donor nephrectomy owing to the limited field of vision and the restricted possibilities for preparation, preoperative radiologic planning is of utmost importance. We evaluated 55 donors who underwent laparoscopic nephrectomies using the 16-section multidetector-row computed tomography angiography. Among the donors who underwent surgeries we observed circumaortic veins (CAV) in three cases, retroaortic veins in 6 cases, multiple renal veins in 10 cases, and a lumbar vein draining into the left renal vein (RV) in 30 cases. In the 2 cases wherein CAVs were discovered, the team decided to use the other kidney. In 1 case, due to a short right RV, we chose the left kidney. The complex development of the CAV that is sometimes difficult to reconstruct in 3D poses a challenge for both the radiologist and the surgeon.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>21620097</pmid><doi>10.1016/j.transproceed.2011.03.069</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Female Fundamental and applied biological sciences. Psychology Fundamental immunology Humans Hungary Kidney - blood supply Kidney - surgery Kidney Transplantation Kidneys Laparoscopy Living Donors Male Malformations of the urinary system Medical sciences Middle Aged Nephrectomy - methods Nephrology. Urinary tract diseases Renal Veins - abnormalities Renal Veins - diagnostic imaging Renal Veins - surgery Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Tissue, organ and graft immunology Tomography, X-Ray Computed Treatment Outcome Young Adult |
title | The Significance of the Circumaortic Left Renal Vein and Other Venous Variations in Laparoscopic Living Donor Nephrectomies |
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