Multiple renal arterlere sahip canlı donörlerden böbrek nakli

Amaç: Son zamanlarda cerrahi tekniklerdeki gelişmelere bağlı olarak böbrek naklinde daha iyi sonuçlar alınmasına rağmen, böbrek arter varyasyonları iyi klinik sonuçlar için halen önemlidir. Çalışmamızın amacı, bir ve iki veya daha fazla arterli greftlerin klinik sonuçlarını karşılaştırmaktı.Yöntemler: Nisan 2014 ile Ocak 2019 arasında, canlı vericili böbrek nakli yapılan 117 hasta retrospektif olarak iki grupta değerlendirildi. Grup 1 bir arterli greft ve Grup 2 iki veya daha fazla arterli greftten oluşuyordu. Bu iki grup arasındaki klinik sonuçları değerlendirildi.Bulgular: 117 alıcı arasında 13 (%11,1) olguda iki veya daha fazla arterli greft vardı. Ortalama 27 (1-60) aylık takip süresinde bu iki grup arasında klinik sonuçlar açısından anlamlı bir farklılık saptanmadı (P=0,62).Sonuç: İki veya daha fazla arterli böbrek grefti kullanımının, böbrek nakli için göreceli bir kontrendikasyon olmadığı anlaşılmaktadır.

Anahtar Kelimeler:

Böbrek nakli, Multiple arter

Kidney transplantation from living donors with multiple renal arteries

Aim: Although better outcomes have been reported recently due to advances in surgical techniques, kidney artery variations are still important for good clinical results in transplantation. The aim of our study was to compare the clinical outcomes of grafts with one and two or more arteries.Methods: Between April 2014 and January 2019, 117 patients with live kidney transplantations were evaluated retrospectively with two groups. Group 1 consisted with one artery grafts and Group 2: two or more arteries. We were evaluated clinical outcomes between groups. Results: Among 117 recipients, there were two or more arteries in 13 cases (11.1 %). There was no significant deference between these two groups in terms of clinical outcomes during a median 27 (1-60) months of follow-up (P=0.62).Conclusion: It appears that the presence of renal grafts with two or more arteries may not be counted as a relative contraindication for renal transplantation.

Keywords:

Kidney transplantation, Multiple arteries,

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