Letter to the Editor
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Sep 18, 2022; 12(9): 310-312
Published online Sep 18, 2022. doi: 10.5500/wjt.v12.i9.310
Simultaneous kidney transplantation and ipsilateral native nephrectomy in patients with autosomal dominant polycystic kidney disease
Rabea Ahmed Gadelkareem, Amr Mostafa Abdelgawad, Nasreldin Mohammed
Rabea Ahmed Gadelkareem, Amr Mostafa Abdelgawad, Nasreldin Mohammed, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut 71515, Egypt
Author contributions: Gadelkareem RA searched and collected the data; Abdelgawad AM contributed in scientific review and revision of the letter; Gadelkareem RA, Abdelgawad AM and Mohammed N wrote and revised the letter; and all authors revised and approved the letter for submission.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rabea Ahmed Gadelkareem, MD, Assistant Professor, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Elgamaa Street, Assiut 71515, Egypt. dr.rabeagad@yahoo.com
Received: June 22, 2022
Peer-review started: June 22, 2022
First decision: July 12, 2022
Revised: July 14, 2022
Accepted: August 25, 2022
Article in press: August 25, 2002
Published online: September 18, 2022
Processing time: 82 Days and 16.1 Hours
Abstract

The simultaneous kidney transplantation and ipsilateral native nephrectomy for autosomal dominant polycystic kidney disease does not seem to be associated with increased rates of comorbidity and complications. This outcome can efficiently be achieved when the indication and surgical approach of native nephrectomy are properly justified.

Keywords: Autosomal dominant polycystic kidney disease; Kidney transplantation; Native nephrectomy; Retroperitoneal approach; Surgical complications

Core Tip: The current results showed that simultaneous kidney transplantation (KT) and ipsilateral native nephrectomy for autosomal dominant polycystic kidney disease is not associated with higher rates of comorbidity and complications. However, the indications should be justified to include forming a sufficient surgical space, such as with huge kidneys, alleviating symptoms, such as with infected cysts and accessing preemptive KT. On the other hand, the retroperitoneal surgical approach of the native nephrectomy should be employed, despite the anatomical challenges of approaching the native kidney from the same approach as the transplantation procedure.