Renal autotransplantation

Flatmark, A; Albrechtsen, D; Sødal, G; Bondevik, H; Jakobsen, A; Brekke, I. B.

doi:10.1007/bf01658401

Cited by 28 publications

(19 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Flatmark et al. [27] reported a mortality rate of 4% of 274 autotransplanted patients and 3.6% of the kidneys were lost. In these cases the indications for operation were renovascular diseases in 56% and nephrolithiasis in 35%.…”

Section: Discussionmentioning

confidence: 99%

Partial nephrectomy and autotransplantation with pyelovesicostomy for renal urothelial carcinoma in solitary kidneys: a clinical update

et al. 2007

View full text Add to dashboard Cite

OBJECTIVE To evaluate the indications and outcomes after partial nephrectomy and renal autotransplantation for urothelial cancer in solitary kidneys, with special attention to the ease of endoscopic tumour control after pyelovesicostomy. PATIENTS AND METHODS In all, 978 records of three institutions were reviewed for patients undergoing partial nephrectomy between January 1990 and December 2000. Ex vivo organ‐preserving surgery was used in selected patients with a solitary kidney and localized pelvic or calyceal tumour. Autotransplantation was established using a pyelovesicostomy. The follow‐up included ultrasonography, pelvi‐cystoscopy, urine cytology, computed tomography, renal functional evaluation and video‐urodynamics. The study included four patients aged 52–56 years, with a follow‐up of 6–14 years. RESULTS The histopathological status was pT1G2R0 in two and pT1G1R0 in the other two patients. One of them had an additional papilloma in the upper ureter. All patients entered a protocol of mitomycin/bacille Calmette‐Guérin instillation therapy after surgery. The patients are currently alive with no recurrences. There is stable kidney function despite vesico‐renal reflux, and normal bladder function with no subvesical obstruction. CONCLUSIONS Partial nephrectomy and renal autotransplantation for renal urothelial cancer in solitary kidneys is feasible, but should only be used in the rarest cases, and for the most selective indications. Dialysis and renal replacement can be avoided. Pyelovesicostomy allows effective chemotherapy instillation therapy, and easy and secure urothelial cancer control of the upper urinary tract.

show abstract

Section: Discussionmentioning

confidence: 99%

Partial nephrectomy and autotransplantation with pyelovesicostomy for renal urothelial carcinoma in solitary kidneys: a clinical update

et al. 2007

View full text Add to dashboard Cite

show abstract

“…7 More recent studies have demonstrated the safety and applicability of renal autotransplant in selected cases. Sevmis and coworkers have demonstrated improvements in creatinine concentration, creatinine clearance, and blood pressure in 5 patients with renovascular hypertension.…”

Section: Renovascular Diseasementioning

confidence: 99%

“…In their series of 305 renal autotransplants, Flatmark and associates performed 15 autotransplants due to renal tumors. 7 All 15 patients had 1 functioning kidney before autotransplant. Frozen sections were performed intraoperatively to ensure that tumor-free margins were achieved.…”

Section: Neoplastic Diseasementioning

confidence: 99%

Untitled

2015

Exp Clin Transplant

View full text Add to dashboard Cite

Advances in transplantation led to the first renal autotransplant in 1963 performed due to high ureteral injury sustained during aortic surgery. The procedure involves excision of the kidney and autologous re-implantation. Subsequently, multiple cases of renal autotransplantation have been reported in the literature for a range of indications. This reviews aims to assess the literature and experiences reported to assess the varying indications for renal autotransplant.The evidence and literature generated from experiences in this procedure are largely limited to case reports and relatively small or moderately sized case series. The main indications reported for performing autotransplant broadly includes renovascular disease, ureteral pathology and neoplastic disease. The advent of laparoscopic techniques and their implications on renal autotransplant also are discussed. Varying degrees of success are reported with this procedure with controversial issues surrounding this procedure remain, particularly in the area of neoplastic surgery. Renal autotransplant may be a useful last resort in preventing kidney loss in highly selected circumstances and when conventional methods have failed.

show abstract

“…Das Risiko postoperativer Transplantatkomplikationen ist gering und die Transplantatverlustrate liegt um 4% [7,11].…”

Section: Autotransplantationunclassified

Chirurgisch-technische Aspekte der Nierentransplantation

2003

View full text Add to dashboard Cite

Surgical techniques in renal transplantation are standardized and have remained basically unchanged for the last 50 years. A limited pool of donor organs is still an unsolved problem. Therefore, marginal organs are also used. Sophisticated techniques are used in children and in cases with vascular problems or complications. Laparoscopic techniques are emerging in renal transplantation. The article provides an overview on current technical standards of renal transplantation and potential surgical and urological complications. We report the results of our own renal transplantation program with special emphasis on vascular techniques, pediatric transplantation, and the management of complications. Special case reports are included.

show abstract

Renal autotransplantation

Cited by 28 publications

References 8 publications

Partial nephrectomy and autotransplantation with pyelovesicostomy for renal urothelial carcinoma in solitary kidneys: a clinical update

Partial nephrectomy and autotransplantation with pyelovesicostomy for renal urothelial carcinoma in solitary kidneys: a clinical update

Untitled

Chirurgisch-technische Aspekte der Nierentransplantation

Contact Info

Product

Resources

About