ĐỐI CHIỀU THỰC TẾ GIẢI PHẪU NGƯỜI HIẾN SỐNG ĐỂ GHÉP VÀ KẾT QUẢ CHỤP CẮT LỚP VI TÍNH

Abstract

the results of computed tomography (CT) scans with the anatomical findings of harvested kidneys in laparoscopic kidney transplantation. Subjects and Research Method: This descriptive cross-sectional study included 166 living kidney donors who underwent both CT scans (256 slices) and laparoscopic surgery at Viet Duc Hospital from June 2021 to June 2022. Results: The CT scans revealed the following findings regarding renal arteries: 142 out of 166 cases (85.64%) showed one renal artery on the graft side; 23 cases (13.86%) had two renal arteries on the graft side; and 1 case (0.6%) had three renal arteries on the graft side. In three cases, a single renal artery bifurcated into two arteries due to an incision at the common arterial trunk (2 on the right and 1 on the left). Three cases showed three veins on the donor kidney, whereas the CT scans displayed only two veins. Two cases were identified during the surgery as having two arteries and one vein, with an additional vein found. The average length and diameter of the kidney with one vein were 2.43±0.55 cm and 15.12±3.74 mm,the length and diameter of the left kidney with one vein were 3.63±0.67 cm and 14.27±2.98 mm. Conclusion: The 256-slice CT scans are highly valuable for evaluating anatomical variations and abnormalities in renal arteries and veins outside the kidney in living kidney donors. A thorough understanding of renal vascular anatomy prior to transplantation and ensuring the safety of the donor after kidney harvesting play a crucial role in the overall success of kidney transplantation.