{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:08:51Z","timestamp":1777943331409,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T00:00:00Z","timestamp":1604016000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81570675"],"award-info":[{"award-number":["81570675"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>Objectives. We present a technique for determining whether to ligate or preserve accessory arteries in donor kidneys before implantation. Methods. Forty-three living-related donor kidneys in patients from January 2014 to February 2018 at our institution were included, all of which had dual arteries without the same stem. Among them, 19 cases of accessory arterial blood supply were evaluated using methylene blue (MB) perfusion, and accessory arteries supplying less than 10% of the total MB perfusion volume were ligated. The other 24 cases were assessed using a conventional method in which arteries with diameters less than 2\u00a0mm were ligated. The back-table surgical time, Doppler ultrasonography index, renal function and complications were compared between the 2 groups. Results. All patients underwent successful kidney transplantation. The back-table surgical time in the MB group was longer than that in the conventional group (42.70 \u00b1 4.70\u00a0min vs 34.64 \u00b1 5.30\u00a0min, P &lt; .05). The serum creatinine level in the MB group was significantly lower than that in the conventional group 1\u00a0month after the operation (103.15 \u00b1 19.26\u00a0\u03bcmol\/L vs 119.17 \u00b1 28.32\u00a0\u03bcmol\/L, P &lt; .05). No differences in the Doppler ultrasonography index or postoperative complications were noted. Conclusions. MB perfusion provides an easy and effective method to make decisions regarding arterial ligation and helps preserve renal function without increasing the number of complications after transplantation.<\/jats:p>","DOI":"10.1177\/1553350620971474","type":"journal-article","created":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T07:44:32Z","timestamp":1604043872000},"page":"458-464","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Methylene blue usage for determining accessory artery ligation in donor kidneys"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8876-7382","authenticated-orcid":false,"given":"Yang","family":"Li","sequence":"first","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of the Army Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yajun","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of the Army Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wengang","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of the Army Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of the Army Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of the Army Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chibing","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of the Army Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,30]]},"reference":[{"key":"bibr1-1553350620971474","first-page":"85","volume":"10","author":"Taghizadeh-Afshari A","year":"2016","journal-title":"Iran J Kidney 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