Kidney transplantation with concomitant simple nephrectomy by thoracoabdominal approach for patients with huge autosomal dominant polycystic kidney disease (ADPKD): A case report

Yasutoshi Yamada; Hideki Enokida; Akihiko Mitsuke; Hiroaki Nishimura; Shuichi Tatarano; Masayuki Nakagawa

doi:10.1016/j.eucr.2019.100973

Kidney transplantation with concomitant simple nephrectomy by thoracoabdominal approach for patients with huge autosomal dominant polycystic kidney disease (ADPKD): A case report

Urol Case Rep. 2019 Jul 19:26:100973. doi: 10.1016/j.eucr.2019.100973. eCollection 2019 Sep.

Authors

Yasutoshi Yamada¹, Hideki Enokida¹, Akihiko Mitsuke^{1

2}, Hiroaki Nishimura¹, Shuichi Tatarano¹, Masayuki Nakagawa¹

Affiliations

¹ Department of Urology, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.
² Department of Kidney Transplantation, Sapporo City General Hospital, 1-1, Kita 11, Nishi 13, Chuo-ku, Sapporo, 060-8604, Japan.

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is a common inherited kidney disease with growing multiple cyst formation. We report here a huge ADPKD case of kidney transplantation concomitant with simple nephrectomy through thoracoabdominal approach that allows surgeons to manipulate the renal vessels, the adrenal grand, the trigonal ligament, and the lower pole of the kidney under the wide operative field. Because of the direct recognition of the surgical anatomy, it might be safe and feasible for simple nephrectomy in huge ADPKD patients undergoing concomitant kidney transplantation despite of the wide skin incision required by this approach.

Keywords: ADPKD; Kidney transplantation; Thoracoabdominal approach.

Publication types

Case Reports