Kidney transplant ureteroneocystostomy: comparison of full-thickness vs. Lich-Gregoir techniques
| Autor: | Ernesto P. Molmenti, Ivan Zendejas, Liise K. Kayler, Denise C. Schain, Poorvi Chordia, Joseph F. Magliocca |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Urinary system Urology Renal function Delayed Graft Function Urine Hematoma Medicine Humans Ureteral Diseases Urinary Complication Kidney transplantation Ureterostomy Transplantation business.industry Incidence (epidemiology) Incidence Graft Survival Length of Stay Middle Aged medicine.disease Prognosis Kidney Transplantation Surgery Cystostomy Survival Rate Case-Control Studies Ureterovesical Junction Female Kidney Diseases business Follow-Up Studies Glomerular Filtration Rate |
| Zdroj: | Clinical transplantation. 26(4) |
| ISSN: | 1399-0012 |
| Popis: | Despite a variety of urinary tract reconstructive techniques, urinary complications are the most frequent technical adverse event following kidney transplantation. We examined outcomes of two ureteroneocystostomy techniques, the full-thickness (FT) technique and the Lich-Gregoir (LG) technique in 634 consecutive kidney-alone transplants (327 FT and 307 LG) between December 2006 and December 2010. Urological complications at one yr post-transplantation occurred in 27 cases (4.3%) including 16 ureteral strictures (2.5%), four ureteral obstructions (0.6%) owing to donor-derived stones or intrinsic hematoma, and seven urine leaks (1.1%). Compared with LG, the FT technique was associated with similar proportions of ureteral complications overall (3.9% vs. 4.6%, p = 0.70), ureteral strictures (3.7% vs. 1.3%, p = 0.08), urinary stones/hematoma (1.0% vs. 0.3%, p = 0.36), and overall urinary leaks (1.6% vs. 0.6%, p = 0.22); however, the FT technique was associated with somewhat fewer urine leaks at the ureterovesical junction (0% vs. 1.3%, p = 0.05). There were no differences between the two groups in terms of length of stay, delayed graft function, urinary tract infection with the first post-transplant year, estimated glomerular filtration rate, and overall graft and patient survival. The FT technique of ureteroneocystostomy is technically simple to perform and has a similar incidence of urinary complications compared with the LG technique. |
| Databáze: | OpenAIRE |
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