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Kidney Transplantation

  • Mohammad Ayaz Hossain
  • Radhika Chadha
  • Atul Bagul
  • Reza MotallebzadehEmail author
Chapter
Part of the In Clinical Practice book series (ICP)

Abstract

Renal transplantation remains the optimal treatment for end stage renal disease. Compared with dialysis, it is associated with increased patient survival and better quality of life, and is cost effective. Kidney transplantation requires a multi-disciplinary approach in the pre-operative assessment and work-up of donors and recipients, and subsequent post-operative care. The classical surgical procedure for renal transplantation has changed little from the original pelvic operation originally described in 1951, but the surgical complexity however has been magnified by the increasing age of recipients, frequently with other comorbidities, and impetus to utilise kidneys from extended criteria donors, either as single or dual transplants. There have also been tremendous advances in the technical aspects of live-donation. This chapter details the surgical aspects of kidney donation and transplantation, including preparation of the graft, vessel reconstruction, urinary drainage and identification and management of post-donation and transplantation complications. It is hoped the reader is provided with a comprehensive account of the technical aspects of renal transplantation, with a description of variation in procedure based on anatomical aberrations. An overview of current practise with a look to the future is provided.

Keywords

Renal artery anastomosis Venous anastomosis Ureteric implantation techniques Implantation Carrel patch Update 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mohammad Ayaz Hossain
    • 1
  • Radhika Chadha
    • 2
  • Atul Bagul
    • 3
  • Reza Motallebzadeh
    • 1
    • 4
    Email author
  1. 1.Department of Nephrology and TransplantationRoyal Free HospitalLondonUK
  2. 2.Department of Academic SurgeryOxford University HospitalOxfordUK
  3. 3.Department of Renal TransplantationLeicester General HospitalLeicesterUK
  4. 4.Division of Surgery and Interventional Sciences; Centre for Transplantation, Department of Renal Medicine; and Institute of Immunity and TransplantationUniversity College LondonLondonUK

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