• Salih Kara, Ercan Korkut, Nurhak Aksungur, Necip Altundas, Gurkan Ozturk, and Zuhal Yetis Demir.
• Organ Transplantation Center, Ataturk University Research Hospital and School of Medicine, Erzurum, Turkey.
• J Coll Physicians Surg Pak. 2022 Oct 1; 32 (10): 1313-1317.

ObjectiveTo determine the effects of surgical techniques applied to arterial anastomosis for kidney transplantation on the graft outcome.Study DesignObservational study.Place And Duration Of StudyOrgan Transplantation Center, Ataturk University Research Hospital and School of Medicine, Erzurum, Turkey, from January 2010 to January 2020.MethodologyIn total, 143 consecutive patients who underwent deceased-donor-donor kidney transplantation during a 10-years period were retrospectively analysed. All patients were divided into two groups according to the vascular anastomosis techniques (end-to side external iliac and end-to-end internal iliac). The two groups were compared in terms of urine volume on postoperative days 1 and 7; blood creatinine levels on postoperative days 1, 2, and 7; complications; and graft survival.ResultsThe mean patient age was 42.04 ± 11.1 years. No significant difference was observed between creatinine values ​​and urine amounts for both surgical techniques (p >0.05). Only the amount of urine on the postoperative 7th day had a significant effect on graft survival (p <0.05). There was no significant difference between the two anastomosis techniques in terms of graft survival (p >0.05).ConclusionBoth surgical techniques can be used safely in renal transplantation and arterial anastomosis. Also, decreased urine volume during follow-up can be considered as an early indicator of graft loss in the long-term.Key WordsKidney transplantation, Surgical anastomosis, Delayed graft function, Graft survival.

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