Background: A short renal vein from a donor kidney poses a challenge during renal transplantation as it can significantly affect the positioning of the renal graft, the subsequent renal artery anastomosis, the length of warm ischemia time, and the overall post-operative renal graft function.
Summary: Our patient is a 51-year-old female, diagnosed case of End Stage Renal Disease secondary to Adult Polycystic Kidney disease underwent renal allograft transplantation using a left allograft kidney obtained via laparoscopic donor nephrectomy with a single cuffed double artery and a short single renal vein. Renal vein extension was done using a polyester vascular graft to provide tension-free vascular anastomosis and proper renal graft placement. Immediate graft function and stable allograft function post-transplantation were observed.


Conclusion: Renal vein extension using polyester vascular graft is a feasible and safe technique to address difficulties during vascular anastomosis while reducing the risks of delayed graft function and other associated vascular complications.