NHẬN XÉT ĐẶC ĐIỂM MẠCH MÁU VÀ CÁC KỸ THUẬT NỐI MẠCH TRONG GHÉP THẬN TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: To describle some aspect of vascular and vascular anastomosis techniques in kidney transplantation from living donor at 108 Military Central Hospital from December 2016 to December 2019. Subject and method: 52 patients underwent kidney transplantation from December 2016 to December 2019. Research content includes: aspect of kidney vascular, kidney vascular anastomosis techniques, early result in sugery. Result: aspect of kidney vascular: 69,2% had only an renal artery; 28,9% had 2 or 3 renal arteries; 1 case had 4 renal arteries; 86,5% had only an renal vein and 13,5% had 2 renal veins. Renal artery anastomosis techniques: 36 patients with only an artery include 5,6% end to side anastomosis of renal artery to common iliac artery; 16,8% end to end anastomosis of renal artery to internal iliac artery; 77,6% end to side anastomosis of renal artery to external iliac artery. Renal vein anastomosis techniques: 100% end to side anastomosis of renal vein to external iliac vein. The early result: 96,2% good; the early vascular anastomosis complication rate: 3,8%. Conclusion: in kidney transplantation, vascular anastomosis techniques is complex and depends on the characteristic of iliac vessels and renal vessels. The early result: 96,2% good.