Entrar/Registro  
HOME SPANISH
 
Cirugía y Cirujanos
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirugía y Cirujanos >Year 2009, Issue 2


Martínez-Mier G, Jiménez-López LA, Valencia-Mercado D, George-Micelli E, Salas-Díaz FA, González-Medina MF
Urological complications following kidney transplantation using Lich-Gregoir technique: A 4-year experience in Mexico
Cir Cir 2009; 77 (2)

Language: Español
References: 16
Page: 111-114
PDF: 83.48 Kb.


Full text




ABSTRACT

Objective: We present a retrospective review of urological complications following kidney transplantation in two medical centers in the Mexican state of Veracruz using Lich-Gregoir extravesical ureteroneocystostomy during a 4-year period.
Methods: Records from 242 patients from January 2003 to November 2007 were reviewed. Standard technique for organ procurement, open nephrectomy and kidney transplant was performed. Extravesical ureteroneocystostomy was used in all patients. Urological complications and management are reported.
Results: There were 19 complications recorded in 18 patients (7.8%). Sixteen kidneys were obtained from living donors. Urinary leak was the most common complication (4.5%) followed by ureteral stenosis (1.6%), vesicoureteral reflux (1.2%) and ureteral necrosis (0.4%) Most of the patients were treated with Foley catheter (42%), Boary flap (26%) and nephrostomy (15%); 1.23% grafts were lost associated with urological complications.
Conclusions: Renal transplantation should incur few urological complications. Attention to technical details should be paid to avoid major complications. Early evaluation to correct complications reduces sepsis, morbidity and the risk of losing graft function.


Key words: Renal transplantation, extravesical ureteroneocystostomy.


REFERENCIAS

  1. Belzer FO, Kountz SL, Najarian JS, Tanagho EA, Hinman F. Prevention of urological complications after renal allotransplantation. Arch Surg 1970;101:449-452.

  2. Starzl TE, Groth CF, Putnam CW, Penn I, Halgrimson CG, Flatmark A, et al. Urological complications in 216 human recipients of renal transplants. Ann Surg 1970;172:1-22.

  3. Domínguez J, Clase CM, Mahalati K, Macdonald AS, McAllister VC, Belitsky P, et al. Is routine ureteric stenting needed in kidney transplantation? A randomized trial. Transplantation 2000;70:597-601.

  4. El-Mekresh M, Osman Y, Ali-El-Dein B, El-Diasty T, Ghoneim MA. Urological complications alter living donor renal transplantation. BJU Int 2001;87:295-306.

  5. Streeter EH, Little DM, Cranston DW, Morris PJ. The urological complications of renal transplantation: a series of 1535 patients. BJU Int 2002;90:627-634.

  6. Kocak T, Name I, Ander H, Ziylan O, Oktar T. Urological and surgical complications in 362 consecutive living related donor kidney transplantations. Urol Int 2004;72:252-256.

  7. Whang M, Geffner S, Bainmeedi S, Bonomini L, Mulgaonkar S. Urological complications in over 1000 kidney transplants performed at The Saint Barnabas Healthcare System. Transpl Proc 2003;35:1375-1377.

  8. Mangus RS, Haag BW, Carter CB. Stented Lich-Gregoir ureteroneocystostomy: case series report and cost effectiveness analysis. Transpl Proc 2004;36:2959-2961.

  9. Srivastava A, Sinha T, Madhusoodanan P, Karan SC, Sandhu AS, Sethi GS, et al. Urological complications of live related donor renal transplantation: 13 years of experience at a single center. Urol Int 2006;77:42-45.

  10. Pisani F, Iaria G, D’Angelo M, Rascente M, Barletta A, Rizza V, et al. Urological complications in kidney transplantation. Transpl Proc 2005;37:2521-2522.

  11. Dinckan A, Tekin A, Turkyilmaz S, Kocak H, Gurkan A, Erdogan O, et al. Early and late urological complications corrected surgically following renal transplantation. Transpl Int 2007;20:702-707.

  12. Mangus RS, Haag BW. Stented versus non-stented extravesical ureteroneocystostomy in renal transplantation: a metaanalysis. Am J Transpl 2004;4:1889-1896.

  13. Starzl TE, Miller C, Broznick B, Makowka L. An improved technique for multiple organ harvesting. Surg Gynecol Obstet 1987;165:343-348.

  14. Martínez-Mier G. Renal transplantation. In: Hoballa JJ, Scott-Conner CE, eds. Operative Dictations in General and Vascular Surgery. New York: Springer-Verlag; 2003. pp. 368-371.

  15. Martínez-Mier G, Méndez-López MT, Budar-Fernández LF, Estrada-Oros J, Franco-Abaroa R, George-Micelli E, et al. Living related kidney transplantation without the use of calcineurin inhibitors: initial experience in a Mexican Center. Transplantation 2006;82:1533-1536.

  16. Martínez-Mier G, Méndez-López MT, Budar-Fernández LF, Estrada-Oros J, Franco-Abaroa R, George-Micelli E, et al. Pediatric renal transplantation with mycophenolate mofetil immunosuppression in a single center from Mexico. Pediatr Transpl 2007;11:134-138.






>Journals >Cirugía y Cirujanos >Year 2009, Issue 2
 

· Journal Index 
· Links 






       
Copyright 2019