ĐẶC ĐIỂM PHẪU THUẬT VÀ KẾT QUẢ GHÉP THẬN ĐẢO CỰC TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC TỪ 3/2018 – 3/2019

Abstract

Objective: To describe the technical characteristics, indications and evaluate the results of inverted kidney transplantation. Subjects and methods: Retrospective descriptive study from March 2018 to March 2019 of cases of inverted kidney transplantation at Viet Duc University Hospital. Results: There were 64 patients who underwent inverted kidney transplantation with 62 cases of right kidney transplant into the right iliac fossa and 2 cases of left kidney transplant in the left iliac fossa. The mean age 40.4 ± 11.7 year old, male / female ratio 1.78/1. 1 graft renal artery 70.3% and 1 graft renal vein 92.2%. 1 case accounting for 1.6% of graft renal artery pseudoaneurysm, no postransplant bleeding, no urine leakage of ureterovesical anatomosis. 1 case of acute T cell rejection occurred accounting for 1.6%. 96.8% cases with no postransplant complication. For long-term result, 3 cases (4.7%) of ureteral stenosis, among these, 1 case due to a fold at the junction between pelvis and ureter and 2 cases due to stenosis of  the ureterovesical anatomosis. 1 case of chronic graft rejection accounting for 1.6% due to drug withdrawal requiring retransplantation after 2 years. 93.7% of cases had normal kidney function. Conclusion: Inverted kidney transplantation is a simple, safe and effective technique to manage the short graft renal vein.