Copyright
©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Mar 18, 2026; 16(1): 110683
Published online Mar 18, 2026. doi: 10.5500/wjt.v16.i1.110683
Published online Mar 18, 2026. doi: 10.5500/wjt.v16.i1.110683
Vein cuff interposition for short renal vein in living-donor kidney transplantation: Three case reports and review of literature
Brahim Lekehal, Noura Ait Youssef, Asma Jdar, Ayoub Bounssir, Department of Vascular Surgery, Faculty of Medicine and Pharmacy of Rabat Mohammed V University in Rabat, Rabat 6527, Rabat-Salé-Kénitra, Morocco
Mehdi Lekehal, Department of Vascular Surgery, Centre Hospitalier Universitaire IBN SINA, Rabat 6527, Rabat-Salé-Kénitra, Morocco
Tarik Bakkali, Department of Vascular Surgery, Mohammed V University, Rabat 6527, Rabat-Salé-Kénitra, Morocco
Author contributions: Lekehal B carried out the experiments and led the project administration; Ait Youssef N and Lekehal M wrote the first draft of the manuscript and collected the data; Bakkali T, Jdar A, and Bounssir A contributed to the data interpretation and visualization. All authors reviewed, edited, and approved the final version of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
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: Noura Ait Youssef, Department of Vascular Surgery, Faculty of Medicine and Pharmacy of Rabat Mohammed V University in Rabat, Avenue Bettouga, Rabat 6527, Rabat-Salé-Kénitra, Morocco. nouraaityoussef94@gmail.com
Received: July 14, 2025
Revised: August 8, 2025
Accepted: October 24, 2025
Published online: March 18, 2026
Processing time: 184 Days and 15.9 Hours
Revised: August 8, 2025
Accepted: October 24, 2025
Published online: March 18, 2026
Processing time: 184 Days and 15.9 Hours
Core Tip
Core Tip: In living-donor kidney transplantation, short renal veins following laparoscopic donor nephrectomy can complicate vascular anastomosis. The use of a venous cuff interposition is a practical solution that increases vein length and flexibility, reduces anastomotic tension, and facilitates a secure end-to-side anastomosis to the recipient’s external iliac vein, thereby optimizing hemodynamic stability and potentially decreasing the incidence of vascular complications.