Gadelkareem RA, Abdelgawad AM, Mohammed N. Simultaneous kidney transplantation and ipsilateral native nephrectomy in patients with autosomal dominant polycystic kidney disease. World J Transplant 2022; 12(9): 310-312 [PMID: 36187882 DOI: 10.5500/wjt.v12.i9.310]
Corresponding Author of This Article
Rabea Ahmed Gadelkareem, MD, Assistant Professor, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Elgamaa Street, Assiut 71515, Egypt. dr.rabeagad@yahoo.com
Research Domain of This Article
Transplantation
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Transplant. Sep 18, 2022; 12(9): 310-312 Published online Sep 18, 2022. doi: 10.5500/wjt.v12.i9.310
Simultaneous kidney transplantation and ipsilateral native nephrectomy in patients with autosomal dominant polycystic kidney disease
Rabea Ahmed Gadelkareem, Amr Mostafa Abdelgawad, Nasreldin Mohammed
Rabea Ahmed Gadelkareem, Amr Mostafa Abdelgawad, Nasreldin Mohammed, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut 71515, Egypt
Author contributions: Gadelkareem RA searched and collected the data; Abdelgawad AM contributed in scientific review and revision of the letter; Gadelkareem RA, Abdelgawad AM and Mohammed N wrote and revised the letter; and all authors revised and approved the letter for submission.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rabea Ahmed Gadelkareem, MD, Assistant Professor, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Elgamaa Street, Assiut 71515, Egypt. dr.rabeagad@yahoo.com
Received: June 22, 2022 Peer-review started: June 22, 2022 First decision: July 12, 2022 Revised: July 14, 2022 Accepted: August 25, 2022 Article in press: August 25, 2002 Published online: September 18, 2022
Abstract
The simultaneous kidney transplantation and ipsilateral native nephrectomy for autosomal dominant polycystic kidney disease does not seem to be associated with increased rates of comorbidity and complications. This outcome can efficiently be achieved when the indication and surgical approach of native nephrectomy are properly justified.
Core Tip: The current results showed that simultaneous kidney transplantation (KT) and ipsilateral native nephrectomy for autosomal dominant polycystic kidney disease is not associated with higher rates of comorbidity and complications. However, the indications should be justified to include forming a sufficient surgical space, such as with huge kidneys, alleviating symptoms, such as with infected cysts and accessing preemptive KT. On the other hand, the retroperitoneal surgical approach of the native nephrectomy should be employed, despite the anatomical challenges of approaching the native kidney from the same approach as the transplantation procedure.
