Abstract
For patients that return to dialysis after failed kidney transplantation, re-transplantation is safe, effective, and associated with a substantial mortality benefit compared to long-term dialysis [1]. Subsequent transplants, however, present additional immunologic and technical challenges, which may lead to increased complication rates and shorter graft survival [2, 3]. Here, we focus on the anatomic and surgical considerations in the setting of kidney re-transplant.
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References
Rao PS, Schaubel DE, Wei G, Fenton SSA. Evaluating the survival benefit of kidney retransplantation. Transplantation. 2006;82:669–74.
Kainz, A. et al. Waiting time for second kidney transplantation and mortality. CJASN CJN.07620621 (2021). https://doi.org/10.2215/CJN.07620621.
Ghadian A, Nourbala MH. Role of renal re-transplantation in ESRD patients. Nephro Urol Mon. 2013;5:721–2.
Domagala P, et al. Surgical safety and efficacy of third kidney transplantation in the ipsilateral iliac fossa. Ann Transplant. 2019;24:132–8.
Ooms LSS, et al. Kidney retransplantation in the ipsilateral iliac fossa: a surgical challenge: kidney retransplantation in the ipsilateral iliac fossa. Am J Transplant. 2015;15:2947–54.
Lucewicz A, et al. Torsion of intraperitoneal kidney transplant: torsion of intraperitoneal kidney transplant. ANZ J Surg. 2012;82:299–302.
Fiorentino M, et al. Management of patients with a failed kidney transplant: what should we do? Clin Kidney J. 2021;14:98–106.
Lledó-GarcÃa E, González J, MartÃnez-HolguÃn E, Herranz-Amo F, Hernández-Fernández C. Beyond the limits: how to avoid a surgical nightmare in the third and subsequent renal transplantation procedures. Curr Urol Rep. 2020;21:13.
Sandal S, Ahn JB, Segev DL, Cantarovich M, McAdams-DeMarco MA. Comparing outcomes of third and fourth kidney transplantation in older and younger patients. Am J Transplant. 2021;21:4023–31.
Garcia LE, González J, Serena G, Ciancio G. Arterial reconstruction with donor iliac vessels during kidney transplantation in a patient with severe atherosclerosis. J Vasc Surg Cases Innov Tech. 2019;5:443–6.
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Janek, K.C., Philip, J.L. (2022). Surgical Challenges in Kidney Re-transplantation. In: Aziz, F., Parajuli, S. (eds) Complications in Kidney Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-031-13569-9_3
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DOI: https://doi.org/10.1007/978-3-031-13569-9_3
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