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Suttle, Timothy; Fumo, David; Baghmanli, Ziya; Saltzman, Barbara; Ortíz, Jorge

doi:10.6002/ect.2015.0161

Cited by 6 publications

(4 citation statements)

References 17 publications

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“…However, UU is successfully utilized at renal transplant with a meta‐analysis demonstrating no difference in the overall rates of complications between UU and ureteroneocystostomy, with stricture, obstruction and stone formation being the more common complications associated with UU. 11 In contrast to the other studies, only one patient in our study (5.2%) had failure of the UU as defined by a > 20% drop in eGFR from baseline and progressive hydronephrosis from anastomotic stricture and obstruction of the UU. We found that differences in patients eGFR’s before and after UU were not significant; this finding suggests that long‐term renal function is maintained in the majority of patients who undergo UU.…”

Section: Discussioncontrasting

confidence: 84%

Long‐term renal functional outcomes following ureteroureterostomy performed during multi‐organ resection for non‐urothelial cancers

et al. 2021

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Objectives To evaluate the long‐term renal function outcomes after ureteroureterostomy (UU) in patients undergoing multi‐organ resection for non‐urothelial cancers. The secondary aim was to examine the length of ureteric defect that can be successfully bridged with UU. Patients and methods We retrospectively reviewed the charts of patients who underwent UU between 1995 and 2012 at our institution. Renal imaging studies performed before and after UU were used to determine whether hydronephrosis was present. Renal function was assessed by comparing estimated glomerular filtration rate (eGFR) before and at the last follow‐up after UU. Results Nineteen patients underwent UU during multi‐organ resection for non‐urothelial cancers. Median follow‐up time was 62 months. Overall, UU had a high success rate, with one patient (5.2%) developing progressive hydronephrosis with a >20% drop in eGFR from baseline due to UU failure. Four additional patients developed progressive hydronephrosis due to cancer recurrence involving the UU. There were no statistically significant differences between pre‐ and post‐UU eGFR in these patient cohort. All patients with a ureteric defect of ≤5 cm underwent successful reconstruction. Conclusions UU maintains long‐term renal function in the majority of patients undergoing multi‐organ resection for non‐urothelial cancers and can be successfully utilized if the resected ureteric length is ≤5 cm.

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Section: Discussioncontrasting

confidence: 84%

Long‐term renal functional outcomes following ureteroureterostomy performed during multi‐organ resection for non‐urothelial cancers

et al. 2021

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“…[22] In a recent meta-analysis, similar complication rates were reported suggesting that both the procedures can be accepted as primary anastomotic techniques. [23]…”

Section: Discussionmentioning

confidence: 99%

Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience

et al. 2019

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Introduction: In renal transplant, surgeons use a myriad of ureteral anastomotic techniques. Although ureteroneocystostomy (UNC) using Lich-Gregoir extravesical anastomosis is used most commonly, ureteroureterostomy with native ureter has its own importance in certain situations. Materials and Methods: We retrospectively reviewed records of patients who underwent renal transplantation at our center from March 2011 to February 2016. Records of patients who underwent ureteroureterostomy with the native ureter were reviewed for the indications and complications of the procedure. Results: Of 1050 renal transplants during the study period, 32 patients underwent native ureteroureterostomy. Among these 32 patients, 20 patients were planned preoperatively for native ureteroureterostomy (elective), and intraoperative decision was made in 12 patients (emergency). On follow-up, only one patient had ureteral obstruction due to kink just distal to ureteroureterostomy and was managed by double-J stenting. Other patients had an expected postoperative course. Conclusion: In our experience, ureteroureterostomy with native ureter is technically and functionally good option for ureteric reimplantation in kidney transplant patients. It can be used selectively for elective and emergency situations where UNC is not possible. Hence, the kidney transplant surgeon should be well versed with both techniques.

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“…Extravesical ureteroneocystostomy techniques, which avoid large openings in the bladder and have shorter operative times, have reduced complication rates from 10% to 6.3%, the Lich-Gregoir technique being the most used today. In these two techniques, the graft ureter is implanted in the usual position, that is, with the lower pole in the caudal position 4 , 5 .…”

Section: Introductionmentioning

confidence: 99%

Ultrashort anisoperistaltic end-to-side ureteroureterostomy in renal transplantation

Leão

Foinquinos

Mello

et al. 2022

Rev. Col. Bras. Cir.

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The improvement of surgical techniques in kidney transplantation aims to reduce the incidence of post-transplant complications, contributing to the reduction of hospital stay, related costs, morbidity and mortality, in addition to improving the quality of life of patients. The choice of the best technique is influenced by several factors and the most common technique for urinary tract reconstruction in transplants is performed with implantation of the ureter of the graft in the caudal position, with the anastomosis performed in the bladder. However, the kidney pole can be inverted and the graft ureter anastomosis can be performed directly on the recipient’s ureter, facilitating venous and ureteral anastomoses and reducing urological complications.

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Untitled

Cited by 6 publications

References 17 publications

Long‐term renal functional outcomes following ureteroureterostomy performed during multi‐organ resection for non‐urothelial cancers

Long‐term renal functional outcomes following ureteroureterostomy performed during multi‐organ resection for non‐urothelial cancers

Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience

Ultrashort anisoperistaltic end-to-side ureteroureterostomy in renal transplantation

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