Nhận xét đặc điểm mạch máu và các kỹ thuật nối mạch trong ghép thận tại Bệnh viện Trung ương Quân đội 108

To describle some aspect of vascular and vascular anastomosis techniques in kidney transplantation from living donor at 108 Military Central Hospital from December 2016 to December 2019. Subject and method: 52 patients underwent kidney transplantation from December 2016 to December 2019. Research content includes: aspect of kidney vascular, kidney vascular anastomosis techniques, early result in sugery. Result: aspect of kidney vascular: 69,2% had only an renal artery; 28,9% had 2 or 3 renal arteries; 1 case had 4 renal arteries; 86,5% had only an renal vein and 13,5% had 2 renal veins. Renal artery anastomosis techniques: 36 patients with only an artery include 5,6% end to side anastomosis of renal artery to common iliac artery; 16,8% end to end anastomosis of renal artery to internal iliac artery; 77,6% end to side anastomosis of renal artery to external iliac artery. Renal vein anastomosis techniques: 100% end to side anastomosis of renal vein to external iliac vein. The early result: 96,2% good; the early vascular anastomosis complication rate: 3,8%. Conclusion: in kidney transplantation, vascular anastomosis techniques is complex and depends on the characteristic of iliac vessels and renal vessels. The early result: 96,2% good.