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Kidney Transplantation

Hossain, MA; Chadha, R; Bagul, A; Motallebzadeh, R; (2019) Kidney Transplantation. In: Díaz-Nieto, R, (ed.) Procurement and Transplantation of Abdominal Organs in Clinical Practice. (pp. 69-117). Springer: Cham, Switzerland.

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Motallebzadeh_Book chapter on Surgical aspects of Kidney transplantation MAH RMZ 01 (15.01.19).pdf
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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.

Type: Book chapter
Title: Kidney Transplantation
DOI: 10.1007/978-3-030-21370-1
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Renal artery anastomosis, Venous anastomosis, Ureteric implantation techniques, Implantation, Carrel patch, Update
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
URI: https://discovery.ucl.ac.uk/id/eprint/10080230
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