Recently, the Departments of Vascular Surgery, Urology and Anesthesiology of PUMCH, as part of a multi-disciplinary team, took nearly ten hours to complete the aneurysm resection and orthotopic renal autotransplantation for a solitary-kidney patient. With no intraoperative and postoperative complications, the patient has been discharged.

According to Dr. Zheng Yuehong, Director of the Department of Vascular Surgery, the autologous great saphenous vein is a better choice for reconstruction because of its low incidence of stenosis and thrombosis and high long-term patency rate after transplantation. The vascular surgery team of PUMCH first introduced the ex-vivo reconstruction with autologous great saphenous vein and orthotopic renal autotransplantation through fractional blockage process.

Since 2009, this multidisciplinary team has completed 27 complex autologous kidney renal transplants, and all patients acquire great benefits and favorable prognoses. The team also developed innovative surgical procedures such as “right renal vein elongation” and “fractionated perfusion in orthotopic autologous transplantation”, improved “renal hilar endarterectomy of secondary branches combined with reconstruction of renal artery with great saphenous vein” and has published multiple research papers. Their innovative methods have been internationally recognized as valuable PUMCH contribution.

The multidisciplinary team performed aneurysm resection and orthotopic renal autotransplantation for the solitary-kidney patient.

During the operation, the solitary kidney was isolated and underwent cold perfusion in the process of renal artery reconstruction.

Journalist: Wang Lu

Correspondent: Wu Lianglin and Lai Zhichao

Photo: Sun Liang

Translator: Liu Haiyan

Editor: Cui Liqiang and Wang Yao