Various ureteroneocystostomy techniques for
kidney transplant have been described with Lich-Gregoir (LG) being widely
employed. However, even with multiple modifications on this technique, urine
leakage and ureteric stenosis remain as most common complications. This study
aims to evaluate urological complications by using our modified LG technique
after kidney transplant.
From 26th January 2010 to 30th May 2014, 206
consecutive kidney transplants were performed at our institute. 124 were
deceased-donor and 69 were live-donor kidney transplants; 13 patients received
a small tumour excised kidney graft.
All transplants except one were done by
conventional open surgery. The modification involves an additional stitch
placed at proximal part of bladder muscular incision with peri ureteric tissue
at the entrance of ureter to bladder. Urological complications were defined as
urine leakage or ureteral stricture. The patients were followed-up from 12 to
64 months.
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