For citation purposes: He B, Hamdorf JM. Clinical importance of anatomical variations of renal vasculature during laparoscopic donor nephrectomy. OA Anatomy 2013 Oct 18;1(3):25.

Review

 
Clinical Anatomy

Clinical importance of anatomical variations of renal vasculature during laparoscopic donor nephrectomy

B He, JM Hamdorf
 

Authors affiliations

(1) Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, Perth, Australia

(2) School of Surgery, The University of Western Australia, Crawley, WA, Perth, Australia

*Corresponding author Email: bulang.he@health.wa.gov.au

Abstract

Introduction

Laparoscopic live donor nephrectomy has become a well-accepted practice in most transplant units. However, the variations and complex of renal vasculature may make the surgery even more challenging during laparoscopic donor nephrectomy. The aims of this article are to review embryology of the renal vasculature development and the clinical significance of renal vasculature anomalies during laparoscopic donor nephrectomy and the consequence of kidney transplant.

Discussion

The results were interpreted and summarised as renal artery development and its anomalies and renal vein development and its anomalies including associated anomalies of the inferior vena cava. The clinical significance during laparoscopic donor nephrectomy was explored. The value of computed tomography angiography was emphasised during live donor work-up and before surgery planning.

Conclusion

It is paramount for surgeons to have a thorough knowledge of renal vasculature development and to readily identify the anomalies of renal vasculature on computed tomography angiography prior to laparoscopic donor nephrectomy. The adverse bleeding event can be therefore prevented.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
Keywords