Assessment of the Accuracy of the Multi Detector Computed Tomography in Defifining Renal Artery Before Laparoscopic Donor Nephrectomy Accuracy of Tomography for Renal Artery

Objective: Renal transplantation is the most effective treatment option for end stage renal disease. Because of severe organ shortage, living kidney donors are important choices for transplantation. Evaluation of vascular anatomy of living donor's kidney before nephrectomy is essential to perform a successful procedure. Computed tomography angiography which is noninvasive and effective is preferred for evaluation in many centers. In this study we aimed to compare the results of the multi detector CT angiography (MDCTA) with operation findings in patients who underwent live renal transplantation. Material and Methods: Living kidney donors between January 2008 and December 2015 were evaluated retrospectively. MDCTA findings and operation notes were compared. Results: A total 110 living kidney donors (50.57 ± 12.26 years, 46.4% male) were evaluated. Renal artery anatomic variations were detected in 27.3% and 31% of right and left kidneys, respectively. The accuracy of the MDCTA was 95.4% and 98.2% regarding renal artery and early branching of the artery, respectively. Conclusion:MDTCA is serving an accurate modality in preoperative assessment of renal arteries before laparoscopic donor nephrectomy.