Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature

Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Novotny R [verfasserIn] Marada T [verfasserIn] Chlupac J [verfasserIn] Viklicky O [verfasserIn] Fronek J [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	live donor renal transplant orthotopic simultaneous

Übergeordnetes Werk:	In: Research and Reports in Urology - Dove Medical Press, 2012, (2018), Seite 69-73
Übergeordnetes Werk:	year:2018 ; pages:69-73

Links:	Link aufrufen Link aufrufen Journal toc

Katalog-ID:	DOAJ034656685

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allfields	(DE-627)DOAJ034656685 (DE-599)DOAJ0fde73f5b36d4075903f9c830442b314 DE-627 ger DE-627 rakwb eng RC870-923 Novotny R verfasserin aut Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous live donor renal transplant orthotopic simultaneous Diseases of the genitourinary system. Urology Marada T verfasserin aut Chlupac J verfasserin aut Viklicky O verfasserin aut Fronek J verfasserin aut In Research and Reports in Urology Dove Medical Press, 2012 (2018), Seite 69-73 (DE-627)684967898 (DE-600)2649530-2 22532447 nnns year:2018 pages:69-73 https://doaj.org/article/0fde73f5b36d4075903f9c830442b314 kostenfrei https://www.dovepress.com/simultaneous-living-donor-orthotopic-renal-transplantation-and-bilater-peer-reviewed-article-RRU kostenfrei https://doaj.org/toc/2253-2447 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2018 69-73
spelling	(DE-627)DOAJ034656685 (DE-599)DOAJ0fde73f5b36d4075903f9c830442b314 DE-627 ger DE-627 rakwb eng RC870-923 Novotny R verfasserin aut Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous live donor renal transplant orthotopic simultaneous Diseases of the genitourinary system. Urology Marada T verfasserin aut Chlupac J verfasserin aut Viklicky O verfasserin aut Fronek J verfasserin aut In Research and Reports in Urology Dove Medical Press, 2012 (2018), Seite 69-73 (DE-627)684967898 (DE-600)2649530-2 22532447 nnns year:2018 pages:69-73 https://doaj.org/article/0fde73f5b36d4075903f9c830442b314 kostenfrei https://www.dovepress.com/simultaneous-living-donor-orthotopic-renal-transplantation-and-bilater-peer-reviewed-article-RRU kostenfrei https://doaj.org/toc/2253-2447 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2018 69-73
allfields_unstemmed	(DE-627)DOAJ034656685 (DE-599)DOAJ0fde73f5b36d4075903f9c830442b314 DE-627 ger DE-627 rakwb eng RC870-923 Novotny R verfasserin aut Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous live donor renal transplant orthotopic simultaneous Diseases of the genitourinary system. Urology Marada T verfasserin aut Chlupac J verfasserin aut Viklicky O verfasserin aut Fronek J verfasserin aut In Research and Reports in Urology Dove Medical Press, 2012 (2018), Seite 69-73 (DE-627)684967898 (DE-600)2649530-2 22532447 nnns year:2018 pages:69-73 https://doaj.org/article/0fde73f5b36d4075903f9c830442b314 kostenfrei https://www.dovepress.com/simultaneous-living-donor-orthotopic-renal-transplantation-and-bilater-peer-reviewed-article-RRU kostenfrei https://doaj.org/toc/2253-2447 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2018 69-73
allfieldsGer	(DE-627)DOAJ034656685 (DE-599)DOAJ0fde73f5b36d4075903f9c830442b314 DE-627 ger DE-627 rakwb eng RC870-923 Novotny R verfasserin aut Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous live donor renal transplant orthotopic simultaneous Diseases of the genitourinary system. Urology Marada T verfasserin aut Chlupac J verfasserin aut Viklicky O verfasserin aut Fronek J verfasserin aut In Research and Reports in Urology Dove Medical Press, 2012 (2018), Seite 69-73 (DE-627)684967898 (DE-600)2649530-2 22532447 nnns year:2018 pages:69-73 https://doaj.org/article/0fde73f5b36d4075903f9c830442b314 kostenfrei https://www.dovepress.com/simultaneous-living-donor-orthotopic-renal-transplantation-and-bilater-peer-reviewed-article-RRU kostenfrei https://doaj.org/toc/2253-2447 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2018 69-73
allfieldsSound	(DE-627)DOAJ034656685 (DE-599)DOAJ0fde73f5b36d4075903f9c830442b314 DE-627 ger DE-627 rakwb eng RC870-923 Novotny R verfasserin aut Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous live donor renal transplant orthotopic simultaneous Diseases of the genitourinary system. Urology Marada T verfasserin aut Chlupac J verfasserin aut Viklicky O verfasserin aut Fronek J verfasserin aut In Research and Reports in Urology Dove Medical Press, 2012 (2018), Seite 69-73 (DE-627)684967898 (DE-600)2649530-2 22532447 nnns year:2018 pages:69-73 https://doaj.org/article/0fde73f5b36d4075903f9c830442b314 kostenfrei https://www.dovepress.com/simultaneous-living-donor-orthotopic-renal-transplantation-and-bilater-peer-reviewed-article-RRU kostenfrei https://doaj.org/toc/2253-2447 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2018 69-73
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title_sort	simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature
callnumber	RC870-923
title_auth	Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature
abstract	Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous
abstractGer	Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous
abstract_unstemmed	Robert Novotny,1 Tomas Marada,1 Jaroslav Chlupac,1 Ondrej Viklicky,2 Jiri Fronek1,3,4 1Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2Nephrology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 3Second Faculty of Medicine, Charles University, Prague, Czech Republic; 4First Faculty of Medicine, Charles University, Prague, Czech Republic Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. The patient was indicated for simultaneous bilateral nephrectomy and orthotopic renal transplantation with the aim to minimize invasiveness of the procedure as well as for curable tumor removal. Method: The procedure was performed under the full anesthesia trough upper middle laparotomy. As the first step, bilateral transperitoneal nephrectomy was performed. The live donor surgery started in a parallel theater to shorten the cold ischemic time of the graft. The renal graft had singe vessels and ureter; it was placed into the recipient’s right orthotopic position. End-to-end anastomosis of the right renal vein and artery anastomosis were performed; ureter was anastomosed end-to-end using recipient’s ureter. Results: The postoperative period was uneventful with repeatedly excellent ultrasonography check-up of the graft’s perfusion. The patient was discharged after 13 days with a good renal function of the graft (urea: 15 mmol/L, creatinine 160 µmol/L [1.80 mg/dL]). Conclusion: Orthotopic renal transplantation is a technically challenging but valid alternative for patients who are unsuitable candidates for heterotopic renal transplantation or in cases where there is a clear benefit of orthotopic renal transplantation. Keywords: live, donor, renal, transplant, orthotopic, simultaneous
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title_short	Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature
url	https://doaj.org/article/0fde73f5b36d4075903f9c830442b314 https://www.dovepress.com/simultaneous-living-donor-orthotopic-renal-transplantation-and-bilater-peer-reviewed-article-RRU https://doaj.org/toc/2253-2447
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up_date	2024-07-04T00:06:46.465Z
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