المفاغرة الشريانية على الحرقفي الباطن أو الحرقفي الظاهر في زرع الكلية : خبرتنا في مشفى المواساة الجامعي

Abstract EN

Background &Objective: To verify the best technique of renal artery anastomosis in renal transplantation, we performed a comparison between two techniques of anastomosis end-to-end and end-to-side anastomosis.

Materials and Methods: Aretrospective study has been performed including 320 patients with end stage renal disease underwent kidney transplantation from living donor in the renal transplantation unit at Almouassat University Hospital between 2009 and 2013.

Patients were divided into two groups, the first one contained patients with end-to-end anastomosis of the renal artery to the internal iliac artery, the second contained patients with end-to-side anastomosis of the renal artery to the external or common iliac artery.

Arterial anastomosis time, surgical complications and kidney function were evaluated.

Results: No important differences in the arterial anastomotic time (p=0.8) neither in creatinine values were noted between the two groups, whereas surgical complications like renal artery stenosis (p=0.03) and erectile dysfunction (p=0.01) were higher in the end-to-end anastomosis group.

Conclusion: the follow-up demonstrated that renal function was influenced by cold ischemia time but not by the anastomosis type.

however, the surgical complications rate was higher in the end-to-end group.

We think that a prospective multi centric double blinded study in the future is capable of answering the question of “what is the best technique for renal artery anastomosis”, In the meantime we recommend doing end-to-side anastomosis.