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April 7, 1969

The Vascular Stapler in Transplantation Surgery

Author Affiliations

Tulane University School of Medicine New Orleans

JAMA. 1969;208(1):153-154. doi:10.1001/jama.1969.03160010149033

To the Editor:—  Lindsey et al recently commented, in these pages, upon the value of the vascular stapler in clinical renal transplantation (205: 180, 1968). They emphasized the value of a stapler in reducing the ischemia time to the transplanted kidney. We have had considerable experience with the use of the stapler in performing rabbit renal transplants.1 This experience sharpened our interest in the use of this type of instrument in small vessel surgery. The following case demonstrates a circumstance in which familiarity with stapling instruments can be used advantageously.

Report of a Case:—  The patient was a 19-year-old female who came to receive a renal allograft after several months of preparatory dialysis and study. Her father was the kidney donor. Arteriography showed that the vasculature to each of his kidneys was anomalous (Fig 1). His left kidney was supplied by two renal arteries of almost equal size. His