Kidney Transplant Ureteroneocystostomy Techniques and Complications: Review of the Literature

Kayler, Liise K.; Kang, Diana; Molmenti, Ernesto P.; Howard, Richard J.

doi:10.1016/j.transproceed.2010.04.016

Cited by 85 publications

(106 citation statements)

References 38 publications

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“…Ausztrál szerzők ugyancsak neocystostomia mellett 7,3% szövődményt észleltek [21]. Abban a legtöbb szerző egyetért, amit Kayler és mtsai elemeznek az ureteroneocystostomia négy technikai variánsa kapcsán: a vizeletcsorgás, a stenosis és a vesicoureteralis reflux nem megszüntethető, csak minimalizálható szövődmények veseátültetés után [22]. A pyeloureterostomia irodalma szintén kiterjedt.…”

Section: áBraunclassified

Eredményeink a teljes jogú Eurotransplant-tagság óta. A Debreceni Vesetranszplantációs Központ tapasztalatai

et al. 2016

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Bevezetés: A Debreceni Egyetemen 1991-ben végezték el az első veseátültetést. Hazánk 2013-ban csatlakozott az Eurotransplanthoz. Célkitűzés: A szerzők elemezték a tapasztalatokat. Módszer: 2008. január 1. és 2013. augusztus 31. között (A csoport = 163) és 2013. szeptember 1. és 2015. október 22. között végzett cadavervese-átültetések (B csoport = 90) adatait elemezték. Eredmények: Az élődonorok aránya 3,5%-ról 9,1%-ra nőtt. 2013 óta a recipiensek 25%-a 60 évesnél idősebb, a >30 kg/m 2 testtömegindex aránya 31%-ra, a diabetesesek aránya kétszeresére emelkedett. Az ureteroneocystostomia mellett bevezetésre került a vég az oldalhoz ureteroureteralis anastomosis. Indukciós kezelés mellett az akut rejectiós epizód jelentősen csökkent (34%-ról 8%-ra). A technikai szövődmények aránya nem változott. A bakteriális fertőzések aránya csökkent (41%-ról 33%-ra). Az 1, 3 és 5 éves veseallograft-túlélések 86,6%, 85% és 82,7%, valamint 88%, 84% és 84% voltak a két csoportban. Következtetések: Az extended criteria donor arány emelkedett. 2013 óta lehetségessé vált az akut humoralis rejectio kezelése. Az esetszám-növekedés mellett az eredmények jók. Orv. Hetil., 2016, 157(24), 925-937. Results: The proportion of living transplants rose from 3.5% to 9.1 %. During period B over 25% of utilized donors were over 60 years of age. Recipients with body mass index above 30 kg/m 2 increased from 12% to 31%. Prevalence of diabetes among recipients rose twofold. Uretero-neocystostomy was used during period A (99%) while in period B end to side uretero-ureteral anastomosis has also gained popularity (68%). In 2013 the authors introduced routine use of induction treatment. Acute rejection rate decreased from 34% to 8%. The rate of surgical complications did not change. Acute bacterial infections decreased from 41% to 33%. Cumulative renal allograft 1, 3 and 5 year survival rates were 86.6%, 85% and 82.7% in group A vs. projected rates 88%, 84% and 84% in group B, respectively. Conclusions: Despite the growing proportion of expanded criteria donors, the authors were able to maintain a low incidence of delayed graft function and a favorable graft survival. Since 2013 the authors introduced treatments for acute humoral rejection according to international standards.

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Section: áBraunclassified

Eredményeink a teljes jogú Eurotransplant-tagság óta. A Debreceni Vesetranszplantációs Központ tapasztalatai

et al. 2016

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“…Urinary complications such as urine leak, stricture, ureteric obstruction and vesicoureteral reflux are the most common technical adverse events following Kidney transplantation which may be associated with significant morbidity, excess costs and need for reoperation [1,2]. Overall, the incidence of urinary complications has been reported to vary from 4% to 23% in different studies [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Overall, the incidence of urinary complications has been reported to vary from 4% to 23% in different studies [2][3][4][5]. The majority of these complications are related to vesicoureteral implantation site [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…A variety of urinary tract reconstructive methods have been proposed and compared to find an ideal method with minimum urinary complications and better surgical characteristics [2][3][4][7][8][9][10][11][12]. Today, ureteroneocystostomy is the most common urinary tract reconstructive method utilized in kidney transplantation [3,9,10,13] and divided to extravesical and intravesical methods and on the other hand techniques that employ the antireflux mechanisms and those who don't [2].…”

Section: Introductionmentioning

confidence: 99%

“…Lich-Gregoir (LG) is a commonly used extravesical ureteroneocystostomy technique in which the ureter is sutured to the mucosal layer of the bladder and detrusor musculature closes over the implanted ureter to function as an antireflux mechanism [2,4,[7][8][9]. In recent years at our center, along with the LG technique a lesser known extravesicle ureteroneocystostomy technique has been utilized in which the ureter is continuously sutured directly to the full thickness of the bladder without any additional closure of the musculature to serve as an antireflux mechanism.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Comparison between Two Kidney Transplant Ureteroneocystostomy Techniques: Full-Thickness Single Layer Anastomosis and Lich-Gregoir

Sanei¹,

Hashemi²,

Tabataei³

et al. 2017

J Univer Surg

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Urinary complications such as urine leak, stricture, ureteric obstruction and vesicoureteral reflux are the most common technical adverse events following A variety of urinary tract reconstructive methods have been proposed and compared to find an ideal method with minimum urinary complications. Today, ureteroneocystostomy is the most common urinary tract reconstructive method utilized in kidney transplantation. The main aim of the present study was to compare urologic complications following the use of FTSL and LG techniques in kidney transplant ureteroneocystostomy in a clinical trial study.

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Laparoscopic ureteroneocystostomy and round ligament bladder hitching for ureteral stenosis in parametrial deep endometriosis: Our tips for a tension‐free anastomosis

Ianieri

Rosati

Ercoli

et al. 2022

Intl J Gynecology & Obste

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Kidney Transplant Ureteroneocystostomy Techniques and Complications: Review of the Literature

Cited by 85 publications

References 38 publications

Eredményeink a teljes jogú Eurotransplant-tagság óta. A Debreceni Vesetranszplantációs Központ tapasztalatai

Eredményeink a teljes jogú Eurotransplant-tagság óta. A Debreceni Vesetranszplantációs Központ tapasztalatai

A Comparison between Two Kidney Transplant Ureteroneocystostomy Techniques: Full-Thickness Single Layer Anastomosis and Lich-Gregoir

Laparoscopic ureteroneocystostomy and round ligament bladder hitching for ureteral stenosis in parametrial deep endometriosis: Our tips for a tension‐free anastomosis

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