Vein cuff interposition for short renal vein in living-donor kidney transplantation: Three case reports and review of literature

Figure 2 Images related to case 2. A: Back-table construction of a patch graft using gonadal vein for renal vein lengthening and diameter augmentation. a1: Harvesting the gonadal vein; a2: Cutting the gonadal vein longitudinally; a3: Positioning the gonadal vein graft with the intimal surface facing up; a4: Suturing the posterior wall; B: Renal vein reconstruction. b1: Anterior wall closure of the gonadal vein patch; b2: Final shaping; C: Anatomical configuration of renal allograft in the right fossa. End-to-side anastomosis of the reconstructed renal vein using a gonadal vein cuff to the external iliac vein and the renal artery to the external iliac artery.