Description and Outcomes of Three Different End-to-Side Microsurgical Techniques for the Anastomosis of Accessory Renal Artery With the Dominant Renal Artery in Kidney Transplantation

dc.authoridUnverdi, Omer Faruk/0000-0001-8560-7300
dc.authorscopusid15727432200
dc.authorscopusid55177017500
dc.authorscopusid57189899199
dc.authorscopusid35849685700
dc.authorscopusid7004369943
dc.authorwosidUnverdi, Omer Faruk/HLH-0757-2023
dc.contributor.authorColak, Hulya
dc.contributor.authorGürkan, Alp
dc.contributor.authorUnverdi, Omer Faruk
dc.contributor.authorYildiz, Gursel
dc.contributor.authorGurkan, Alp
dc.contributor.otherGenel Cerrahi / General Surgery
dc.date.accessioned2024-05-25T11:27:43Z
dc.date.available2024-05-25T11:27:43Z
dc.date.issued2021
dc.departmentOkan Universityen_US
dc.department-temp[Colak, Hulya] Izmir Hlth Sci Univ Tepecik, Fac Med, Dept Nephrol, Gaziler Cd 468, TR-35020 Izmir, Turkey; [Kivilcim, Taner; Gurkan, Alp] Istanbul Okan Univ, Fac Med, Dept Gen Surg, Istanbul, Turkey; [Unverdi, Omer Faruk] Istanbul Okan Univ, Fac Med, Dept Plast & Reconstruct Surg, Istanbul, Turkey; [Yildiz, Gursel] Hlth Sci Univ, Cam Sakura Training & Res Hosp, Dept Nephrol, Istanbul, Turkeyen_US
dc.descriptionUnverdi, Omer Faruk/0000-0001-8560-7300en_US
dc.description.abstractBackground. In this study, we compared the outcomes of three different surgical microscope-assisted end-to-side anastomosis techniques between the dominant and accessory renal arteries during living donor kidney transplant. Methods. The demographics, serum creatinine levels, warm and cold ischemia times, rate of complications, and incidence of delayed graft function of 135 kidney recipients were analyzed according to the type of arterial anastomosis. Group A (n = 98) had one dominant renal artery (DRA) with one end-to-side anastomosis to the external iliac artery (EIA) using a surgical microscope. Group B (n = 17) had one DRA plus one accessory renal artery (ARA) with two separate end-to-side anastomoses to the EIA using a surgical microscope. Group C (n = 20) had one DRA with end-to-side anastomosis to the EIA and one ARA with an ex vivo on-bench end-to-side anastomosis to the DRA using a surgical microscope. Results. Compared with groups A and B, the cold ischemia time and the rate of delayed graft function were significantly higher in group C (P <= .001). At 6 months after transplant, group B demonstrated a higher creatinine value (2.40 +/- 3.41 mg/dL) than group A and group B (P = .032). Also, the decrease in creatinine at postoperative month 6 was limited in group B as compared with groups A and C. Conclusions. An end-to-side anastomosis between ARA (group B) and DRA (group A) of the kidney graft using a surgical microscope on the bench ex vivo results in superior outcomes. Single arterial anastomosis techniques are associated with a better function in a 6-month follow-up than two separate arterial anastomoses.en_US
dc.identifier.citation1
dc.identifier.doi10.1016/j.transproceed.2021.08.045
dc.identifier.endpage2906en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue10en_US
dc.identifier.pmid34782171
dc.identifier.scopus2-s2.0-85119257841
dc.identifier.scopusqualityQ3
dc.identifier.startpage2900en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2021.08.045
dc.identifier.urihttps://hdl.handle.net/20.500.14517/1085
dc.identifier.volume53en_US
dc.identifier.wosWOS:000731329200014
dc.identifier.wosqualityQ4
dc.institutionauthorGurkan A.
dc.language.isoen
dc.publisherElsevier Science incen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword Available]en_US
dc.titleDescription and Outcomes of Three Different End-to-Side Microsurgical Techniques for the Anastomosis of Accessory Renal Artery With the Dominant Renal Artery in Kidney Transplantationen_US
dc.typeArticleen_US
dspace.entity.typePublication
relation.isAuthorOfPublication5d67bb93-2201-498c-9a5c-ad3e8b85226d
relation.isAuthorOfPublication.latestForDiscovery5d67bb93-2201-498c-9a5c-ad3e8b85226d
relation.isOrgUnitOfPublicationa54e2ffe-40ce-4b05-98da-33334bb86919
relation.isOrgUnitOfPublication.latestForDiscoverya54e2ffe-40ce-4b05-98da-33334bb86919

Files