Kidney transplantation using a colon pouch (Mainz pouch III): a case report

Markić, Dean; Oguić, Romano; Krpina, Kristian; Gršković, Antun; Vukelić, Ivan; Rački, Sanjin; Ivančić, Aldo; Primc, Davor; Španjol, Josip

doi:10.3325/cmj.2019.60.545

Cited by 7 publications

(6 citation statements)

References 27 publications

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“…In addition, we found a similar rate of urinary complications in both groups, being 15% in orthotopic kidney transplantation and 1–15% in heterotopic transplantation, according to some published series. Urinary fistula and obstruction are the two most frequent categories [ 18 , 19 ]. Ureteral obstruction/stenosis is associated with technical failure or surgical complications, such as hematomas, lymphoceles in the early postoperative period, while in late stenosis the etiology remains more uncertain, associated with factors such as DGF, ureteral duplication, donor age, number of the arteries and the presence of urinomas [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although case reports were not included, we also wanted to describe a few characteristics from them. Three manuscripts reported cases from young people with specific conditions indicating the orthotopic transplant, such as multiple pelvic arteriovenous malformations, congenital abnormalities, multiple pelvic and abdominal surgeries, and twin pregnancy [ 18 , 21 , 22 ]. In addition, two papers described people older than 60 years with multiple comorbidities and severe aortoiliac atherosclerosis [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

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Orthotopic kidney transplantation survival and complications: systematic review and meta-analysis

Castillo-Delgado¹,

García‐Perdomo

Musquera

et al. 2022

Arab Journal of Urology

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Purpose To determine graft and patient survival and adverse events in patients who undergo orthotopic kidney transplantation. Methods We performed a systematic review and meta-analysis. We search in Medline, Embase, and Central from inception to nowadays. We included observational studies with patients who undergo orthotopic kidney transplantation. The primary outcomes were overall patient and graft survival. We pooled the information in a frequency meta-analysis with a 95% CI. We analyzed bias with the STROBE statement. Results Of the 106 papers initially retrieved, four met the inclusion criteria. Vascular and urinary tract complications were reported in 19% and 15%, respectively. The overall patient survival was 92% 95%CI (88% to 95%), I2 = 0%, and the overall graft survival was 88% 95 CI (83% to 91%), I2 = 0%. Conclusion Our analysis showed a high survival rate in patients and kidney grafts after orthotopic kidney transplantation, with a similar complication rate compared to a heterotopic kidney transplant.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Orthotopic kidney transplantation survival and complications: systematic review and meta-analysis

Castillo-Delgado¹,

García‐Perdomo

Musquera

et al. 2022

Arab Journal of Urology

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“…Prvu transplantaciju uz korištenje urinarne derivacije učinili smo, kao prvi transplantacijski centar u Republici Hrvatskoj, 2006. godine. Do sada smo u 7 pacijenata učinili transplantaciju bubrega, a nakon učinjene korekcije donjeg dijela mokraćnog sustava [11][12][13] . Pri tome je šest pacijenata imalo neki od oblika urinarne derivacije (ilealni konduit -4 pacijenta, Mainz-pouch I -1 pacijent, Mainz-pouch III -1 pacijent), dok je jedan pacijent imao augmentacijsku cistoplastiku (slika 1 i 2).…”

Section: Urinarne Derivacije I Supstitucije U Transplantaciji Bubregaunclassified

The surgical progress of kidney transplantation programme in Rijeka

Fučkar

Španjol

Oguić

et al. 2020

Med. Flum. (Online)

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Riječki transplantacijski program započeo je eksperimentalnom kirurgijom i organizacijom centra za dijalizu na Odjelu za urologiju Klinike za kirurgiju na Sušaku. Uz pomoć vlastitog iskustva i boravkom u vanjskim centrima izvrsnosti ostvareni su uvjeti za početak rada s kandidatima za transplantaciju bubrega. Tako je 30. siječnja 1971. godine u našem centru učinjena prva uspješna transplantacija bubrega u Hrvatskoj i tadašnjoj Jugoslaviji. Slijedile su godine u kojima je transplantacija bubrega postala rutinski operacijski zahvat, ali zahvat koji je uvijek zahtijevao angažman multidisciplinarnog tima. Tijekom pet desetljeća predanog rada s kirurške strane su uvedena brojna unaprjeđenja transplantacijskoga programa, od kojih su mnoga po prvi put učinjena u Hrvatskoj i u zemljama u okruženju. To su, primjerice, ortotopne transplantacije bubrega, en-bloc transplantacija bubrega, transplantacija uz korištenje urinarne derivacije i supstitucije vijugom tankog crijeva, dvostruka transplantacija bubrega te transplantacija potkovičastog bubrega. U ovom preglednom radu prikazat ćemo kirurške posebnosti našega transplantacijskog programa.

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“…After the first report on the successful implantation of a kidney transplant into a colon conduit by Tunner et al in 1971, the indications for complex urinary diversions in kidney transplantation have been continuously widened [ 8 ]. Today, many surgical options before or even during kidney transplantation (KT) appear to be viable solutions for complex situations in patients with urinary tract anomalies, including bladder augmentation, continent or incontinent urinary diversions using intestinal segments [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Multicenter evaluation of complex urinary diversion for renal transplantation: outcomes of complex surgical solutions

Flegar,

Huber,

Putz

et al. 2024

World J Urol

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Purpose An abnormal lower urinary tract poses significant challenges for transplant surgeons. Besides the ureteral anastomosis to an ileal conduit, there are diverse complex reconstructive solutions. Due to its rarity, standardization and teaching of complex urinary diversion is extremely difficult. Methods The indications and outcomes of complex urinary diversions after kidney transplantation (KT) were retrospectively investigated at eight urologic transplant centers including a current follow-up. Results Of 37 patients with 21 (56%) males, vesicoureteral reflux (24%), spina bifida (22%), and glomerulonephritis (12%) were the most common causes of terminal renal failure. In 30 (81%) patients, urinary diversion was performed before KT, at a median of 107.5 (range, 10; 545) months before. Transplantations were held at a median patient age of 43 (10; 68) years, including six (16%) living donations. Urinary diversion was modified during 12 (32%) transplantations. After KT, the ileal conduit was the most common incontinent urinary diversion in 25 (67%) patients; a Mainz pouch I and bladder augmentation were the most frequent continent diversions (each n = 3). At a median follow-up of 120 months (range 0; 444), 12 (32%) patients had a graft failure with a 5-year graft survival of 79% (95%CI 61; 90). The median overall survival was 227 months (168; 286) and the 5-year overall survival 89% (69.3; 96.4). Conclusion The mid-term kidney transplant function with complex urinary diversion appears to be comparable to transplants with regular urinary diversions. Hence, complex urinary diversion should always be considered as a surgical option, even during transplantation, if necessary.

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Kidney transplantation using a colon pouch (Mainz pouch III): a case report

Cited by 7 publications

References 27 publications

Orthotopic kidney transplantation survival and complications: systematic review and meta-analysis

Orthotopic kidney transplantation survival and complications: systematic review and meta-analysis

The surgical progress of kidney transplantation programme in Rijeka

Multicenter evaluation of complex urinary diversion for renal transplantation: outcomes of complex surgical solutions

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