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.
No comments:
Post a Comment