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Volume: 4 Issue: 2 December 2006 - Supplement - 1

FULL TEXT

UROLOGIC COMPLICATION RATES IN KIDNEY TRANSPLANTATION AFTER A NOVEL URETERAL REIMPLANTATION TECHNIQUE

A total of 1594 renal transplantations have been performed by our transplantation team since 1975. Initially, modified Politano-Leadbetter technique was preferred for the first 300 cases, till 1983. Then the technique was changed to extravesical Lich-Gregoir in combination with temporary ureteral stenting in consecutive 1141 patients. After September 2003, we began to use a novel ureteral reimplantation technique which we called “corner-saving technique”. The aim of this study is to evaluate the urologic complication rates of kidney transplant recipients during this period. This technique have been used for ureteroneocystostomies in the last 153 (111 living related, 42 cadaver) renal transplantations. The mean recipient age was 31.6 years (range, 7 to 66), and the mean donor age was 39.8 years (range, 6 to 67). The technique that we have described previously, has certain advantages of safe anastomosis opportunity by using a single 6-0 monofilament polydioxanone suture material without a need of using any kind of stents. It also simplifies the ureteral reconstruction even for small-caliber ureters removing the risk of taking stitch bites from the posterior wall. Only four (2.6%) ureteral complications (two ureteral stenosis and two anastomotic leaks) were observed during a follow-up period of 16.9 months. In patients with ureteral stenosis, temporary nephroureterocystostomy catheters were placed after performing a balloon dilatation. In the other patients, the ureteral leakages were also treated by percutaneous nephrostomy. In conclusion, we propose this modified technique with above mentioned advantages and very low complication rates.



Volume : 4
Issue : 2
Pages : 45


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