Korean J Transplant.  2022 Nov;36(Supple 1):S344. 10.4285/ATW2022.F-4908.

The usefulness of kidney transplantation using lower small incision from the level of anterior superior iliac spine

• Hwang H
• Yang JD
• Lee MR
• Chung BH
• Kim MK
• Lee S
• Yu HC

• KMID: 2535571
• DOI: http://doi.org/10.4285/ATW2022.F-4908

Abstract

Minimally invasive surgery offers significant benefits to patients compared to open surgery, including improved peri- and postoperative outcomes, such as shorter hospital stay, less postoperative pain, shorter convalescence period, fewer wound infections, and better cosmetic results. This report is the case of kidney transplantation (KT) using lower small incision from the level of anterior superior iliac spine (ASIS). A 13-year-old women visited our hospital for KT from deceased donor of other hospital (18-yearold man, A+). She had continuous ambulatory peritoneal dialysis 1 year ago and unknown origin chronic kidney disease. The surgical team planned a KT with a small incision in consideration of the cosmetic complaints and the young age of the recipient. Emergency KT was performed with conventional method except lower small incision from the level of ASIS. An incision was made and the retroperitoneum was dissected to the umbilical level while traction using a deep retractor, and then the iliac artery, vein, and part of the bladder were exposed, and anastomosis was performed using the traditional method. Total operation time was 195 minutes. After surgery, the recipients outcome was good (blood urea nitrogen/creatinine, 45/9.55 to 13/0.59), and she was discharged after 13 days without any special complications. Minimally invasive KT is a useful method and can be a surgical option that can be safely performed without expansive laparoscopic or robotic surgery.