TỐI ƯU HÓA CHIỀU DÀI TĨNH MẠCH THẬN PHẢI TRONG CÁC TRƯỜNG HỢP LẤY THẬN PHẢI NỘI SOI ĐỂ GHÉP TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To describe the technique used to optimize the length of the right renal vein during the retrieval of living donor kidneys. Patient and Research Method: Clinical description, cross-sectional study of 84 living kidney donors undergoing laparoscopic right kidney retrieval, ensuring compliance with the selection criteria set by the Ministry of Health. Research parameters included back table anatomical features of the donor kidney, number of arteries and righ veins, length of anatomy renal. Results: The majority of retrieved right kidneys had one artery and one vein, accounting for 61.9%, followed by two arteries and one vein at 20.2%. The least common was one artery and three veins at 2.4%. The average length and diameter of the right kidney with one vein were 2.19±0.30 cm and 12.83±2.35 mm, respectively, which were higher than those of kidneys with multiple veins. Among kidneys with multiple veins, the average length and diameter decreased as the number of veins increased, with the highest values in vein 1 and the lowest in vein 3. Conclusion: The selection of a technique using a curved-tip stapler is highly beneficial in maximizing the length of the right renal vein during the process of living donor kidney transplantation.