Renal Autotransplantation: Indications, Basic Surgical Techniques, and Complications

Abstract

The demonstration provided by the initial allotransplantations performed in the 1950s that renal transplantation is technically feasible raised the prospects for extracorporeal renal repair and subsequent autotransplantation. In 1963, high ureteral injury was managed by kidney autotransplantation (Hardy 1963), and in 1967, extracorporeal repair of an occluded renal artery and autotransplantation of the kidney was performed by Ota (Ota et al. 1967). The development of organ preservation techniques allowed prolonged reversible ischemia. In 1971, Gelin and associates reported on ex vivo renal preservation during bench surgery lasting several hours (Gelin et al. 1971).