Renal standard texts: Difference between revisions

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'''Pre-operative donor assessment'''
==Pre-operative donor assessment==


{| class="wikitable mw-collapsible mw-collapsed"
{| class="wikitable mw-collapsible <!-- mw-collapsed -->"
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||'''Text to copy and insert, optimised for Sectra standard report texts click to expand.&nbsp;'''
||''Text to copy and insert, optimised for Sectra standard report texts.&nbsp;''
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Auto-inserted clinical details:<br />
'''Auto-inserted clinical details:'''<br />
<RequestCaseHistory><br />
<RequestCaseHistory><br />
<RequestReason><br />
<RequestReason><br />


Report:<br />
'''Report:'''<br />
Renal stones: [Yes/No].<br />
Renal stones: [Yes/No].<br />
Renal lesions: [Yes/No]. Type: []<br />
Renal lesions: [Yes/No]. Type: []<br />
Vascular disease: [Yes/No]. Details: []<br />
Number of renal arteries: Left: []  Right: []<br />
Number of renal arteries: Left: []  Right: []<br />
Size (diameter) of accessory renal arteries: Left: []  Right: []<br />
Branching pattern of renal arteries: Left: [Early/Normal]. Right: [Early/Normal].<br />
Branching pattern of renal arteries: Left: [Early/Normal]. Right: [Early/Normal].<br />
Distance to branch point: Left: []. Right: [] Right from lateral edge of IVC [may be -ve].<br />
Number of renal veins: Left: [] Right:[]<br />
Number of renal veins: Left: [] Right:[]<br />
Confluence of renal veins: [Late/Normal].<br />
Confluence of renal veins: [Late/Normal].<br />
Distance of confluence to IVC: Left: []. Left from lateral edge of aorta [May be -ve]. Right: [].<br />
Course of renal veins: [Retroaortic/Circumaortic/Normal].<br />
Course of renal veins: [Retroaortic/Circumaortic/Normal].<br />
Ureters: [Duplex/Normal].<br />
Ureters: [Duplex/Normal].<br />
Renal scarring: [Yes/No]. Extent: []<br />
Renal scarring: Left: [Yes/No]. Right: [Yes/No]. Extent: []<br />
Renal position: [Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia].
Renal position: [Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia].
|}
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!Reason
!Reason
|-
|-
||Renal stones: ||Yes/No. ||
||Renal stones: ||Yes/No. ||This is a relative contraindication
|-
||Renal lesions: ||Yes/No. Type: ||Some centres decline donors if a small angiomyolipoma or even a single cyst is present, in most cases a renal tumour is a contraindication
|-
||Vascular disease: ||Yes/No. Details: ||Relevant or elsewhere severe atheromatous disease or fibromuscular dysplasia are contraindications, though endarterectomy and grafting may make a kidney suitable for harvest provided a normal kidney remains.
|-
|-
||Renal lesions: ||Yes/No. Type: ||
||Number of renal arteries ||Left:  Right: ||Hilar, polar and capsular arteries may be present and an increased number may shift the preference to harvest the contralateral side
|-
|-
||Number of renal arteries ||Left:  Right: ||
||Size (diameter of) accessory renal arteries ||Left:  Right: ||<2 mm polar arteries may be clipped.
|-
|-
||Branching pattern of renal arteries: ||Left: Early/Normal. Right: Early/Normal. ||
||Branching pattern of renal arteries: ||Left: Early/Normal. Right: Early/Normal. ||Required for surgical planning
|-
|-
||Number of renal veins: ||Left: Right:||
||Distance to branch point: ||Left: Right: Right from lateral edge of IVC: ||The right from lateral edge of IVC may be negative if it branches behind the IVC
|-
|-
||Confluence of renal veins: ||Late/Normal. ||
||Number of renal veins: ||Left: Right:||Required for surgical planning
|-
|-
||Course of renal veins: ||Retroaortic/Circumaortic/Normal. ||
||Confluence of renal veins: ||Late/Normal. ||Required for surgical planning
|-
|-
||Ureters: ||Duplex/Normal. ||
||Distance of confluence to IVC: ||Left: Left from lateral edge of aorta: Right: ||The distance of the left confluence from the aorta may be marked as negative if the confluence is late e.g. -1 cm
|-
|-
||Renal scarring: ||Yes/No. Extent ||
||Course of renal veins: ||Retroaortic/Circumaortic/Normal. ||Note of retroaortic and circumaortic renal veins is important to aid surgical planning in nephrectomy and retroperitoneal surgery
|-
|-
||Renal position: ||Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia. ||
||Ureters: ||Duplex/Normal. ||This is not a contraindication, but is required to be identified
|-
||Renal scarring: ||Left: Yes/No. Right: Yes/No. Extent: ||Also a relative contraindication
|-
||Renal position: ||Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia. ||Horseshoe kidney and crossed fused ectopia are contraindications to renal donation.
|-
|colspan="3"|During surgery a laprascopic approach is used, usually to harvest the left kidney though minor abnormalities in one kidney may favour that kidney being harvested in order to leave the normal kidney.
|}
|}


'''This is just an example - the formatting and contents need tuning'''
 
''References:'' <br />
1. Ghonge NP, Gadanayak S, Rajakumari V. MDCT evaluation of potential living renal donor, prior to laparoscopic donor nephrectomy: What the transplant surgeon wants to know?. Indian J Radiol Imaging. 2014;24(4):367-78. <br />
2. Mastrocostas K, Chingkoe CM, Pace KT, et al. Computed tomography identified factors that preclude living kidney donation. Can Urol Assoc J. 2018;12(8):276-279. <br />
3. Arévalo Pérez J, Gragera Torres F, Marín Toribio A, Koren Fernández L, Hayoun C, Daimiel Naranjo I. Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor. Insights Imaging. 2013;4(2):199-211.<br />
4. Thamer Alsulaiman, Stephen Mark, Sarah Armstrong, and David McGregor, “Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital,” Advances in Urology, vol. 2016, Article ID 4924320, 4 pages, 2016. https://doi.org/10.1155/2016/4924320. <br />
5. Radiographics. 2010 Nov;30(7):1875-90. doi: 10.1148/rg.307105032. Multidetector CT of living renal donors: lessons learned from surgeons. Sebastià C1, Peri L, Salvador R, Buñesch L, Revuelta I, Alcaraz A, Nicolau C.<br />
6. Nam JK, Park SW, Lee SD, Chung MK. The clinical significance of a retroaortic left renal vein. Korean J Urol. 2010;51(4):276-80.


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{| class="wikitable mw-collapsible mw-collapsed"
{| class="wikitable mw-collapsible mw-collapsed"
|-
|-
||'''Text to copy and insert, optimised for Sectra standard report texts click to expand.&nbsp;'''
||'''Text to copy and insert, optimised for Sectra standard report texts. Click to expand.&nbsp;'''
|-
|-
|
|
Auto-inserted clinical details:<br />
'''Auto-inserted clinical details:'''<br />
<RequestCaseHistory><br />
<RequestCaseHistory><br />
<RequestReason><br />
<RequestReason><br />


Report:<br />
'''Report:'''<br />
Insert text: [insert options, retain square brackets].<br />
Insert text: [insert options, retain square brackets].<br />
Insert text: [insert option, retain square brackets]<br />
Insert text: [insert option, retain square brackets]<br />

Latest revision as of 08:07, 18 August 2025

Pre-operative donor assessment[edit]

Text to copy and insert, optimised for Sectra standard report texts. 

Auto-inserted clinical details:
<RequestCaseHistory>
<RequestReason>

Report:
Renal stones: [Yes/No].
Renal lesions: [Yes/No]. Type: []
Vascular disease: [Yes/No]. Details: []
Number of renal arteries: Left: [] Right: []
Size (diameter) of accessory renal arteries: Left: [] Right: []
Branching pattern of renal arteries: Left: [Early/Normal]. Right: [Early/Normal].
Distance to branch point: Left: []. Right: [] Right from lateral edge of IVC [may be -ve].
Number of renal veins: Left: [] Right:[]
Confluence of renal veins: [Late/Normal].
Distance of confluence to IVC: Left: []. Left from lateral edge of aorta [May be -ve]. Right: [].
Course of renal veins: [Retroaortic/Circumaortic/Normal].
Ureters: [Duplex/Normal].
Renal scarring: Left: [Yes/No]. Right: [Yes/No]. Extent: []
Renal position: [Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia].

Heading Options Reason
Renal stones: Yes/No. This is a relative contraindication
Renal lesions: Yes/No. Type: Some centres decline donors if a small angiomyolipoma or even a single cyst is present, in most cases a renal tumour is a contraindication
Vascular disease: Yes/No. Details: Relevant or elsewhere severe atheromatous disease or fibromuscular dysplasia are contraindications, though endarterectomy and grafting may make a kidney suitable for harvest provided a normal kidney remains.
Number of renal arteries Left: Right: Hilar, polar and capsular arteries may be present and an increased number may shift the preference to harvest the contralateral side
Size (diameter of) accessory renal arteries Left: Right: <2 mm polar arteries may be clipped.
Branching pattern of renal arteries: Left: Early/Normal. Right: Early/Normal. Required for surgical planning
Distance to branch point: Left: Right: Right from lateral edge of IVC: The right from lateral edge of IVC may be negative if it branches behind the IVC
Number of renal veins: Left: Right: Required for surgical planning
Confluence of renal veins: Late/Normal. Required for surgical planning
Distance of confluence to IVC: Left: Left from lateral edge of aorta: Right: The distance of the left confluence from the aorta may be marked as negative if the confluence is late e.g. -1 cm
Course of renal veins: Retroaortic/Circumaortic/Normal. Note of retroaortic and circumaortic renal veins is important to aid surgical planning in nephrectomy and retroperitoneal surgery
Ureters: Duplex/Normal. This is not a contraindication, but is required to be identified
Renal scarring: Left: Yes/No. Right: Yes/No. Extent: Also a relative contraindication
Renal position: Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia. Horseshoe kidney and crossed fused ectopia are contraindications to renal donation.
During surgery a laprascopic approach is used, usually to harvest the left kidney though minor abnormalities in one kidney may favour that kidney being harvested in order to leave the normal kidney.


References:
1. Ghonge NP, Gadanayak S, Rajakumari V. MDCT evaluation of potential living renal donor, prior to laparoscopic donor nephrectomy: What the transplant surgeon wants to know?. Indian J Radiol Imaging. 2014;24(4):367-78.
2. Mastrocostas K, Chingkoe CM, Pace KT, et al. Computed tomography identified factors that preclude living kidney donation. Can Urol Assoc J. 2018;12(8):276-279.
3. Arévalo Pérez J, Gragera Torres F, Marín Toribio A, Koren Fernández L, Hayoun C, Daimiel Naranjo I. Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor. Insights Imaging. 2013;4(2):199-211.
4. Thamer Alsulaiman, Stephen Mark, Sarah Armstrong, and David McGregor, “Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital,” Advances in Urology, vol. 2016, Article ID 4924320, 4 pages, 2016. https://doi.org/10.1155/2016/4924320.
5. Radiographics. 2010 Nov;30(7):1875-90. doi: 10.1148/rg.307105032. Multidetector CT of living renal donors: lessons learned from surgeons. Sebastià C1, Peri L, Salvador R, Buñesch L, Revuelta I, Alcaraz A, Nicolau C.
6. Nam JK, Park SW, Lee SD, Chung MK. The clinical significance of a retroaortic left renal vein. Korean J Urol. 2010;51(4):276-80.


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