The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative study
Background: Kidneys with double renal arteries are used on a routine basis nowadays, and separate anastomosis in situ is one of the suitable arterial anastomosis procedures. The commonly used methods are parallel end-to-side anastomoses of double arteries to the external iliac artery, and end-to-end...
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Elsevier
2025-01-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958424014283 |
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| author | Changyu Ma Congrong Shen Hao Dong Chonghao Sun Jianfeng Wang Zhenshan Ding Xing Chen Yangtian Jiao Xiaohong Ren Xiaofeng Zhou |
| author_facet | Changyu Ma Congrong Shen Hao Dong Chonghao Sun Jianfeng Wang Zhenshan Ding Xing Chen Yangtian Jiao Xiaohong Ren Xiaofeng Zhou |
| author_sort | Changyu Ma |
| collection | DOAJ |
| description | Background: Kidneys with double renal arteries are used on a routine basis nowadays, and separate anastomosis in situ is one of the suitable arterial anastomosis procedures. The commonly used methods are parallel end-to-side anastomoses of double arteries to the external iliac artery, and end-to-end anastomosis to the internal iliac artery combined with end-to-side anastomosis to the external iliac artery. No studies have compared the prognoses of the two procedures in deceased kidney transplantation. Methods: We retrospectively analyzed 35 consecutive deceased kidney transplantations with double arterial anastomoses in the urology department of China–Japan Friendship Hospital from January 2018 to April 2021. Group I comprised recipients with double parallel end-to-side anastomoses to the external iliac artery; Group II comprised the others. Their prognoses were then compared. Results: There were no significant differences between Group I and II in characteristics of recipients and donors. The mean eGFRs at 1, 3, 6 and 12 months post-transplant in Group I and II were 36.4 vs 54.1 (P = 0.009), 40.4 vs 54.4 (P = 0.02), 40.4 vs 56.9 (P = 0.02) and 39.8 vs 57.9 (P = 0.007) mL/min respectively. There was no difference in early postoperative complications and 1-year survival rates between the two groups (P = 1.00). Conclusion: Separate anastomosis is a reliable procedure for deceased kidney transplantation with double arteries. Double separate anastomoses to the external and internal iliac arteries have better graft function compared with double parallel anastomoses to the external iliac artery during the first year after transplantation. |
| format | Article |
| id | doaj-art-90a4d3a1f46b4429a86c73f0d8f4e876 |
| institution | Kabale University |
| issn | 1015-9584 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj-art-90a4d3a1f46b4429a86c73f0d8f4e8762024-12-28T05:20:56ZengElsevierAsian Journal of Surgery1015-95842025-01-01481119124The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative studyChangyu Ma0Congrong Shen1Hao Dong2Chonghao Sun3Jianfeng Wang4Zhenshan Ding5Xing Chen6Yangtian Jiao7Xiaohong Ren8Xiaofeng Zhou9Department of Urology, China-Japan Friendship Hospital, Beijing, China; Graduate School of Peking Union Medical College, Peking Union Medical College, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, China; China-Japan Friendship Clinical College, Peking University Health Science Center, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, China; Graduate School of Peking Union Medical College, Peking Union Medical College, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Urology, China-Japan Friendship Hospital, Beijing, China; Graduate School of Peking Union Medical College, Peking Union Medical College, Beijing, China; China-Japan Friendship Clinical College, Peking University Health Science Center, Beijing, China; Corresponding author. Department of Urology, China-Japan Friendship Hospital, No.2 Sakura East Street, Beijing, 100029, China.Background: Kidneys with double renal arteries are used on a routine basis nowadays, and separate anastomosis in situ is one of the suitable arterial anastomosis procedures. The commonly used methods are parallel end-to-side anastomoses of double arteries to the external iliac artery, and end-to-end anastomosis to the internal iliac artery combined with end-to-side anastomosis to the external iliac artery. No studies have compared the prognoses of the two procedures in deceased kidney transplantation. Methods: We retrospectively analyzed 35 consecutive deceased kidney transplantations with double arterial anastomoses in the urology department of China–Japan Friendship Hospital from January 2018 to April 2021. Group I comprised recipients with double parallel end-to-side anastomoses to the external iliac artery; Group II comprised the others. Their prognoses were then compared. Results: There were no significant differences between Group I and II in characteristics of recipients and donors. The mean eGFRs at 1, 3, 6 and 12 months post-transplant in Group I and II were 36.4 vs 54.1 (P = 0.009), 40.4 vs 54.4 (P = 0.02), 40.4 vs 56.9 (P = 0.02) and 39.8 vs 57.9 (P = 0.007) mL/min respectively. There was no difference in early postoperative complications and 1-year survival rates between the two groups (P = 1.00). Conclusion: Separate anastomosis is a reliable procedure for deceased kidney transplantation with double arteries. Double separate anastomoses to the external and internal iliac arteries have better graft function compared with double parallel anastomoses to the external iliac artery during the first year after transplantation.http://www.sciencedirect.com/science/article/pii/S1015958424014283Arterial variationDeceased kidney transplantationDouble renal arteriesSeparate anastomosis |
| spellingShingle | Changyu Ma Congrong Shen Hao Dong Chonghao Sun Jianfeng Wang Zhenshan Ding Xing Chen Yangtian Jiao Xiaohong Ren Xiaofeng Zhou The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative study Asian Journal of Surgery Arterial variation Deceased kidney transplantation Double renal arteries Separate anastomosis |
| title | The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative study |
| title_full | The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative study |
| title_fullStr | The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative study |
| title_full_unstemmed | The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative study |
| title_short | The early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries: A retrospective comparative study |
| title_sort | early outcomes of two separate anastomosis procedures in deceased kidney transplantation with double arteries a retrospective comparative study |
| topic | Arterial variation Deceased kidney transplantation Double renal arteries Separate anastomosis |
| url | http://www.sciencedirect.com/science/article/pii/S1015958424014283 |
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