case_images: PMC5264203_01
case_images: PMC5264203_02
case_images: (a) Diagrammatic representation of the donor, after liver was harvested after transecting aorta and vena cava just above the origins of renal arteries and drainage of renal veins, respectively. (b) En-bloc harvest of both the kidneys with donor aorta and inferior vena cava and both ureters up to bladder
case_images: IJU-33-85-g001.jpg
case_images: PMC5264203_02_IJU-33-85-g001.jpg
case_images: F1
case_images: The hepatobiliary surgery team retrieved the liver after transecting the aorta and vena cava just above the origins of the renal arteries and drainage of renal veins, respectively [Figure 1a]. Infrahilar aorta and vena cava were divided at the level of their branching into the iliac vessels, and both ureters were dissected till their entry into the bladder [Figure 1b].
case_images: (a) Bench preparation, closing the cephalic ends of both aorta and inferior vena cava. (b) Bench preparation, posterior aspect of harvested kidneys, all the branches were suture tied. RK: Right kidney, LK: Left kidney. (c) Diagrammatic representation after the en-bloc transplant is complete. Ao: Aorta, IVC: Inferior vena cava, EIA: External iliac artery, EIV: External iliac vein
case_images: IJU-33-85-g002.jpg
case_images: PMC5264203_02_IJU-33-85-g002.jpg
case_images: F2
case_images: Bench preparation included the closure of suprarenal transected aorta and cava [Figure 2a] using 6-0 polypropylene suture. All the branches of the aorta and vena cava were ligated except for the renal blood supply [Figure 2b]. Both the ureters were anastomosed separately into the bladder using modified Lich-Gregoir technique over double-J stents [Figures 2c and 3].
case_images: Intraoperative photograph of completed en-bloc transplant
case_images: IJU-33-85-g003.jpg
case_images: PMC5264203_02_IJU-33-85-g003.jpg
case_images: F3
case_images: Both the ureters were anastomosed separately into the bladder using modified Lich-Gregoir technique over double-J stents [Figures 2c and 3].