Autotransplantation of a transplanted kidney with an extracorporeal vascular reconstruction

On November 6th, at the Department of General, Vascular and Transplant Surgery, chaired by prof. Sławomir Nazarewski, an autotransplantation of a transplanted kidney with an extracorporeal vascular reconstruction was perfromed. The procedure was unique on a global scale, and possible due to unusual combination of mastery both in transplant and vascular surgery techniques.

A kidney from the deceased's donor was transplanted in March 2015. The current indication for surgery was a 6 cm aneurysm formed at the site of the vascular patch, from which left three arteries supplying the transplanted kidney together with iliac artery are originating.

The surgery was divided into four stages:
- removal of the transplanted kidney and excision of the aneurysm
- reconstruction of the external iliac artery by a vascular transplant
- extracorporeal repair of a kidney transplant involving the reconstruction of three renal arteries with an usage of the internal iliac artery and its branches taken from a patient
- reimplantation of the repaired kidney transplanted to the recipient's iliac vessels

The reimplated kidney transplant took an action immediately. Currently, the patient who received the extracorporeally repaired kidney feels good and does not need hemodialysis.

This achievement required the collaboration of several teams from the Department of General, Vascular and Transplant Surgery, the 2nd Department of Anesthesiology and Intensive Care, the Department of Transplantation Medicine, Nephrology and Internal Diseases and the Department of Nephrology, Dialysis & Internal Diseases.