Renal Autotransplantation - A Possibility in the Treatment of Complex Renal Vascular Diseases and Ureteric Injuries

Hau, Hans Michael; Bartels, Michael; Morgül, Mehmet Haluk; Thelen, Armin; Fellmer, Peter; Benckert, Christoph; Moche, Michael; Jonas, Sven

doi:10.1097/00007890-201211271-01804

Cited by 8 publications

(13 citation statements)

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“…This counts both for the absence of recurrence with the patients in our group, as well as the stable kidney function after auto transplantation. But we were unable to determine an improvement of the kidney's function, as it has been described in other studies [25]. Postoperative complications in our patient group were fewer compared to other publications.…”

Section: Discussioncontrasting

confidence: 60%

“…Since the first kidney auto transplantation 1963 by J. D. Hardy [1] this method has established itself as a tested alternative procedure for patients with complex ureteral lesions or vascular and Reno vascular disorders [1][2][3]25]. Since this time, cases and studies which report good long term results with a selected group of patients have been published regularly.…”

Section: Discussionmentioning

confidence: 99%

“…Among these are e.g. patient age, anatomy and kidney function, etiology of the disorder, surgical and transplantation-surgical experience and former surgery [25].…”

Section: Discussionmentioning

confidence: 99%

“…This counts both for extrinsic lesions, such as with Mb. Ormond, or retroperitoneal tumors [22][23][24], as well as for intrinsic lesions, such as with urothel carcinoma, or long ureteral stenosis [1,12,[25][26][27][28][29]. This means that kidney auto transplantation is, besides the Ileuminterponate, a potent solution for restructuring after complex ureteral injuries with individual kidneys, or limited kidney function combined with a significant loss of the upper and middle third of the ureter [26,30,31].…”

Section: Introductionmentioning

confidence: 99%

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Kidney Auto Transplantation: A Long Forgotten Technique?

Weig¹,

Schaarschmidt²,

Fornara³

et al. 2017

J Kidney

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

“…Among these are e.g. patient age, anatomy and kidney function, etiology of the disorder, surgical and transplantation-surgical experience and former surgery [25].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Kidney Auto Transplantation: A Long Forgotten Technique?

Weig¹,

Schaarschmidt²,

Fornara³

et al. 2017

J Kidney

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show abstract

“…15 In addition to vascular pathology, they performed renal autotransplants because of high ureteral injuries. Indications included proximal ureter injury or avulsion secondary to ureteroscopic stone manipulation, ureter injury secondary to laparoscopic retroperitoneal lymphadenectomy in gynecologic cancer, or injury to the ureter after aortobifemoral bypass.…”

Section: Renovascular Diseasementioning

confidence: 99%

Untitled

2015

Exp Clin Transplant

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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.

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A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium

Hisano,

Matsuura,

Koizumi

et al. 2024

IJU Case Reports

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IntroductionRenal autotransplantation is considered a surgical procedure for extensive ureteral defects. Herein, we report a case of severe ureteral injury repaired by laparoscopic nephrectomy and renal autotransplantation with an iliac vein patch using bovine pericardium.Case presentationA 56‐year‐old woman who had previously undergone gynecological surgery complained of right‐sided abdominal pain. She was then later diagnosed with a right middle ureteral injury with a 5‐cm long defect. We performed retroperitoneal laparoscopic nephrectomy and renal autotransplantation. As the iliac vein was fragile, venous patching using bovine pericardium was performed. The patient's renal function was well preserved after surgery.ConclusionLaparoscopic nephrectomy and renal autotransplantation is an effective method for repairing severe ureteral injury with the preservation of renal function. A venous patch using bovine pericardium might be considered as a replacement for a fragile vein.

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Renal Autotransplantation - A Possibility in the Treatment of Complex Renal Vascular Diseases and Ureteric Injuries

Cited by 8 publications

References 0 publications

Kidney Auto Transplantation: A Long Forgotten Technique?

Kidney Auto Transplantation: A Long Forgotten Technique?

Untitled

A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium

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