LAPAROSCOPIC NEPHRECTOMY IN LIVING KIDNEY DONORS WITH DOUBLE INFERIOR VENA CAVA: A CLINICAL CASE REPORT AT MILITARY HOSPITAL 103
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Abstract
Double inferior vena cava (DIVC) is a rare vascular anomaly (0.2 - 3% of the population), usually asymptomatic and often discovered incidentally. In living donor kidney transplantation, the presence of DIVC may alter renal vein anatomy, affect surgical planning, and increase the risk of surgical accidents and postoperative complications. We report two cases of living kidney donors at Military Hospital 103 (a 39-year-old female and a 37-year-old male) diagnosed with DIVC preoperatively by multidetector computed tomography. Both donors underwent successful laparoscopic left donor nephrectomy with preservation of the left inferior vena cava branch. The operative times were 120 and 100 minutes, with warm ischemia times of 105 and 135 seconds, respectively. All donors and recipients had uneventful recovery, and graft function remained stable.
Keywords
Kidney transplantation, Living donor, Double inferior vena cava, Laparoscopic nephrectomy
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References
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