EXPLORATION OF GRAFT CONCLUSION OF KIDNEY TRANSPLANTATION WITH MULTIPLE RENAL ARTERIES

Background. Transplantation of the kidney graft with Multiple Renal Arteries was not common because it is very complicate procedure and it can carry a great MSK for the various abnormalities and complications. This single center research work carried out to examine the outcome of graft of transplantation of kidney with the multiple renal arteries. Methodology: This was a retroactive research work. In this research work, we reviewed the clinical records of thirty-five patients who had received grafts of kidney with the multiple renal arteries for the method of surgery, complications of surgery, function of graft and survival of the graft. We compared the results with those outcomes achieved in receivers of grafts of kidney with SRA. Results: Out of total thirty-five grafts, we found two arteries of kidney in thirty allografts and three arteries of kidney in total five allografts. In group of multiple renal arteries, we found seven instances of complications in surgery, the average level of creatinine in serum were 122.0, 139.0 and 156.0 mol/L at one month, one year and five years correspondingly and the rates of survival of the actuarial graft were 94.30%, 88.60% and 830% at one, five and ten years correspondingly. In the group of SRA, we found total fifty-six instances of complications during surgery, the average level of creatinine in serum were 115.0, 121.0 and 141.0 mol/L at one month, one year and five years correspondingly and rates of survival of actuarial graft were 93.70%, 88.10% and 84.40% at one, five and ten years correspondingly. Conclusion: Although the graft transplantation with the multiple renal arteries has very high danger of complications relatively, it also provided the outcome which is closely comparable with the results obtained in case of SRA. KEY WORDS: Multiple Renal Arteries, Graft, Instances, Transplantation, Surgery, Creatinine, Outcome, Actuarial, Survival