Ipsilateral placement in double-kidney transplantation

Ipsilateral placement of double kidneys from marginal donors into older recipients may reduce the stress of the operation on the patient and allow for extension of the utility of older donor kidneys. A separate bench preparation of the kidneys is performed to aid in assessing the quality of the kidneys before placement in the recipient. Multiple renal arteries and proximal calcifications may require extracorporeal anastomosis or multiple anastomoses in the recipient depending on length and size of the renal vessels. In the recipient, the incision should allow complete dissection of the common external and internal iliac arteries. This report provides a detail of the technique used for ipsilateral placement of double kidneys.