ĐÁNH GIÁ KẾT QUẢ RỬA VÀ CHUẨN BỊ THẬN GHÉP LẤY TỪ NGƯỜI CHO SỐNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives:  The aim of this study is to assess the outcomes of kidney lavage and preparation for transplantation from living donors at Viet Duc Hospital. Subjects and Research Method: A clinical descriptive study was conducted on 149 patients who received kidneys from living donors through endoscopic surgery, ensuring compliance with the selection criteria set by the Ministry of Health. The kidneys were rapidly perfused with Custodiol solution at a temperature of 4°C, following the kidney washing protocol established by the Ministry of Health at Viet Duc Friendship Hospital during the study period. The research parameters included: pre-wash anatomical features of the donor kidney, pre-wash gross characteristics of the graft kidney, number of glomeruli, tubules, and interstitial cells in the pre-wash graft kidney, duration of kidney washing, volume of kidney washout solution, and overall assessment of the kidney washing results. Results: There were no cases of parenchymal collision, vascular injury, or renal capsule rupture. The majority of graft kidneys did not have cysts, accounting for 98.6%. The average time for washout solution to flow out of the vein was 5.68 ± 0.89 minutes. Post-washing, 100% achieved good density, 98% exhibited good kidney coloration, and 2% were of average color, with no cases exhibiting poor results. Overall, the kidney washing results were good in 146 out of 149 cases (98.0%), average in 3 out of 149 cases (2.0%), with no significant difference in glomerular density in the graft kidneys. Conclusion: Kidney washing and subsequent adjustments are crucial steps before placing the kidney in the transplant pocket. Re-evaluating the kidney helps reduce cold ischemia time and detect any potential injuries, providing maximum support during the anastomosis of blood vessels and urinary ducts during kidney transplantation.