Ex vivo stone surgery in donor kidneys at renal transplantation

Autor:	Mehmet Sarier, Mustafa Ozer, Erdal Kukul, Alper Demirbas, İbrahim Duman, A Yavuz, L. Yucetin, Yucel Yuksel, S. Tekin
Rok vydání:	2018
Předmět:	Adult Male medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology Kidney Nephrectomy Living donor Kidney Calculi 03 medical and health sciences 0302 clinical medicine Urinary Leakage Living Donors Ureteroscopy Humans Stone extraction Medicine Aged Retrospective Studies medicine.diagnostic_test business.industry Middle Aged Allografts Kidney Transplantation Surgery Transplantation Treatment Outcome 030220 oncology & carcinogenesis Tissue and Organ Harvesting Kidney Failure Chronic Female business Donor kidney Ex vivo Follow-Up Studies
Zdroj:	International Journal of Urology. 25:844-847
ISSN:	0919-8172
DOI:	10.1111/iju.13755
Popis:	Objective To report our experience on the outcomes of ex vivo ureteroscopy and ex vivo pyelolithotomy carried out on the donor kidney before living donor renal transplantation. Methods Between 2009 and 2016, 13 stone-bearing donor kidneys underwent ex vivo bench surgery after donor nephrectomy. Of these, six patients underwent ex vivo ureteroscopy and seven patients underwent ex vivo pyelolithotomy. Data were analyzed for technical feasibility, intraoperative and postoperative complications, stone clearance, and stone recurrence. Results The mean stone burden was 9.1 mm (range 5-15 mm). Renal collecting system access and stone extraction were successfully achieved, and a stone-free status was accomplished with both techniques. The mean duration of ex vivo ureteroscopy was 12.5 min (range 9-20 min), and the mean duration of ex vivo pyelolithotomy was 3.1 min (range 1-8 min). One patient in the pyelolithotomy group developed urinary leakage and underwent surgical repair on the third postoperative day. The mean long-term follow-up duration was 49.6 months (range 14-101 months). None of the 13 patients included in the study suffered from stone recurrence. Conclusions Our experience suggests that both ex vivo ureteroscopy and ex vivo pyelolithotomy procedures can safely and effectively be carried out in stone-bearing living donor kidneys, without compromising renal allograft function.
Databáze:	OpenAIRE
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