Clinical advances in kidney autotransplantation: a review
Abstract Kidney autotransplantation is a surgical procedure with multiple indications and advancing technological approaches. Kidney autotransplantation is used to address complex kidney-related diseases including renal vascular lesions, ureteral diseases, tumors, loin pain-hematuria syndrome, and c...
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BMC
2025-02-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02754-z |
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| author | Shengjie Lin Jingci Gai Shangjin Huang Yingzhen He Da Hao Shuhang Luo Yilong Lin Jiang Qiu Jun Li Changxi Wang Chenglin Wu |
| author_facet | Shengjie Lin Jingci Gai Shangjin Huang Yingzhen He Da Hao Shuhang Luo Yilong Lin Jiang Qiu Jun Li Changxi Wang Chenglin Wu |
| author_sort | Shengjie Lin |
| collection | DOAJ |
| description | Abstract Kidney autotransplantation is a surgical procedure with multiple indications and advancing technological approaches. Kidney autotransplantation is used to address complex kidney-related diseases including renal vascular lesions, ureteral diseases, tumors, loin pain-hematuria syndrome, and conditions affecting a solitary kidney or both kidneys. Renal artery lesions, including aneurysms and stenoses, often necessitate kidney autotransplantation in cases involving renal artery bifurcation or distant failure of endovascular repair. Complex ureteral lesions such as ureteral avulsions are commonly treated with kidney autotransplantation. Renal tumors, especially centrally located tumors or those involving the renal hilum, are treated using this technique while preserving renal function. It is worth emphasizing that this would be a rarely used last-resort technique in the modern era of minimally invasive nephron-sparing surgery. Kidney autotransplantation may be indicated for the rare condition of loin pain-hematuria syndrome when conservative measures fail. Additionally, individuals with solitary or bilateral kidney disease benefit from kidney autotransplantation to preserve their renal function. Traditional open-kidney autotransplantation involves renal extraction, workbench repair, and renal reimplantation. Technological advancements have introduced minimally invasive techniques including laparoscopic- and robot-assisted kidney autotransplantation, which reduce surgical trauma and recovery times. These techniques have shown promising outcomes, and robotic platforms have the potential to further reduce complications. In this study, we reviewed diverse indications and recent technological innovations in the field of kidney autotransplantation. |
| format | Article |
| id | doaj-art-1edb8b2b3037487f9b648a61277825b2 |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
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| series | BMC Surgery |
| spelling | doaj-art-1edb8b2b3037487f9b648a61277825b22025-02-09T12:09:09ZengBMCBMC Surgery1471-24822025-02-0125111210.1186/s12893-024-02754-zClinical advances in kidney autotransplantation: a reviewShengjie Lin0Jingci Gai1Shangjin Huang2Yingzhen He3Da Hao4Shuhang Luo5Yilong Lin6Jiang Qiu7Jun Li8Changxi Wang9Chenglin Wu10Organ Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityBeijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical CollegeSchool of Medicine, Xiamen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityOrgan Transplant Center, The First Affiliated Hospital of Sun Yat-sen UniversityAbstract Kidney autotransplantation is a surgical procedure with multiple indications and advancing technological approaches. Kidney autotransplantation is used to address complex kidney-related diseases including renal vascular lesions, ureteral diseases, tumors, loin pain-hematuria syndrome, and conditions affecting a solitary kidney or both kidneys. Renal artery lesions, including aneurysms and stenoses, often necessitate kidney autotransplantation in cases involving renal artery bifurcation or distant failure of endovascular repair. Complex ureteral lesions such as ureteral avulsions are commonly treated with kidney autotransplantation. Renal tumors, especially centrally located tumors or those involving the renal hilum, are treated using this technique while preserving renal function. It is worth emphasizing that this would be a rarely used last-resort technique in the modern era of minimally invasive nephron-sparing surgery. Kidney autotransplantation may be indicated for the rare condition of loin pain-hematuria syndrome when conservative measures fail. Additionally, individuals with solitary or bilateral kidney disease benefit from kidney autotransplantation to preserve their renal function. Traditional open-kidney autotransplantation involves renal extraction, workbench repair, and renal reimplantation. Technological advancements have introduced minimally invasive techniques including laparoscopic- and robot-assisted kidney autotransplantation, which reduce surgical trauma and recovery times. These techniques have shown promising outcomes, and robotic platforms have the potential to further reduce complications. In this study, we reviewed diverse indications and recent technological innovations in the field of kidney autotransplantation.https://doi.org/10.1186/s12893-024-02754-zKidney autotransplantationKidney transplantationAutotransplantationKidney-related diseasesMinimally invasive surgery |
| spellingShingle | Shengjie Lin Jingci Gai Shangjin Huang Yingzhen He Da Hao Shuhang Luo Yilong Lin Jiang Qiu Jun Li Changxi Wang Chenglin Wu Clinical advances in kidney autotransplantation: a review BMC Surgery Kidney autotransplantation Kidney transplantation Autotransplantation Kidney-related diseases Minimally invasive surgery |
| title | Clinical advances in kidney autotransplantation: a review |
| title_full | Clinical advances in kidney autotransplantation: a review |
| title_fullStr | Clinical advances in kidney autotransplantation: a review |
| title_full_unstemmed | Clinical advances in kidney autotransplantation: a review |
| title_short | Clinical advances in kidney autotransplantation: a review |
| title_sort | clinical advances in kidney autotransplantation a review |
| topic | Kidney autotransplantation Kidney transplantation Autotransplantation Kidney-related diseases Minimally invasive surgery |
| url | https://doi.org/10.1186/s12893-024-02754-z |
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