Restored Kidney Graft From Urologist Referrals for Renal Transplantation

He, Bulang; Mitchell, Andrew; Lim, Wai H.; Delrivière, Luc

doi:10.1016/j.transproceed.2012.12.018

Cited by 9 publications

(19 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of a small tumor-resected kidney allograft from patients with a small (less than 3 cm) renal cell tumor for a kidney transplantation has been implemented in our unit since 2007 [ 13 ]. The tumor was excised and frozen section was performed to ensure that the margin was clear prior to transplant.…”

Section: Methodsmentioning

confidence: 99%

Outcomes of Kidney Transplantation by Using the Technique of Renal Artery Anastomosis First

Ng¹,

Lim²,

He³

2018

Cureus

View full text Add to dashboard Cite

IntroductionThe surgical technique for kidney transplantation has been well established: the renal vein is anastomosed first, followed by renal artery anastomosis. Alternatively, the renal artery can be anastomosed first and then the renal vein for kidney transplantation. However, there is a lack of data on the outcomes of kidney transplantation by using this alternative approach. The objective of this paper was to review the outcomes of kidney transplant by using this approach.MethodsA review of 205 consecutive kidney transplants was conducted. All kidney transplants were performed by doing renal artery anastomosis first and then the renal vein. Data were collected, including vascular/urological complications and kidney graft function.ResultsAll transplants were performed successfully with no occurrence of renal artery/vein thrombosis and urine leakage. There were five cases of renal artery stenosis that were managed with endovascular intervention. There was no recurrence on follow-up. One ureteric stenosis required surgical reconstruction.ConclusionsThis alternative vascular anastomotic technique is efficient and safe. It avoids flip-flopping the kidney graft during the vessel anastomoses and may be more practical in minimally invasive surgery for a kidney transplant due to the space constraint.

show abstract

Section: Methodsmentioning

confidence: 99%

Outcomes of Kidney Transplantation by Using the Technique of Renal Artery Anastomosis First

Ng¹,

Lim²,

He³

2018

Cureus

View full text Add to dashboard Cite

show abstract

“…The age was from 3 to 81 years old with average 49.94 years old. Of 206 recipients, 124 were deceased-donor (DD) kidney transplants, 69 were live-donor (LD) kidney transplants and 13 patients received kidney transplant by using a small tumor excised kidney graft [7]. Laparoscopic or retroperitoneoscopic donor nephrectomy was routinely performed for live kidney donors [8].…”

Section: Methodsmentioning

confidence: 99%

Preventable Urological Complications Post Kidney Transplant with Modified Lich-Gregoir Technique for Ureteroneocystostomy

He¹,

Ng²

2016

J Transplant Technol Res

View full text Add to dashboard Cite

Aim: 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. Method: From 26th January 2010 to 30 th 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. Results:There was no urine leakage in this cohort. One case of ipsilateral dual-kidney transplant developed distal ureteral stricture secondary to a lymphocele that was treated by laparoscopic fenestration. Subsequently, surgical reconstruction of urinary tract was required and success. Seven cases had mild to moderate hydronephrosis identified on CDU; 4 were due to a lymphocele; 3 were secondary to urinary tract stones. Four patients had renal pelvis prominence on CDU, which was spontaneously resolved with satisfactory renal function. Conclusion:From this study, it is demonstrated that urine leakage can be prevented and ureteric stricture may be minimised by using this modified LG technique. The ureter was always shortened in an adequate length and a ureteric stent was inserted. This modification is simple and reproducible by placing additional two stitches, which secure the potential gap at the entrance of ureter to the bladder.

show abstract

“…Selection of tumor-excised kidney graft from a donor and potential candidate for acceptance of the graft has already been described. 11 Briefly, the decision for radical or partial nephrectomy for a potential donor patient with a small renal mass is purely a discussion between the patient and his/ her treating urologist. The donor patient is fully informed that the kidney may be used for transplantation if radical nephrectomy is considered.…”

Section: Methodsmentioning

confidence: 99%

“…11 The aim of this study was to investigate the HRQoL and concerns patients had about recurrence of tumor.…”

mentioning

confidence: 99%

Tumor-resected kidney transplant – a quality of life survey

Sundararajan¹,

He²,

Delrivière³

2016

TRRM

View full text Add to dashboard Cite

Restored Kidney Graft From Urologist Referrals for Renal Transplantation

Cited by 9 publications

References 20 publications

Outcomes of Kidney Transplantation by Using the Technique of Renal Artery Anastomosis First

Outcomes of Kidney Transplantation by Using the Technique of Renal Artery Anastomosis First

Preventable Urological Complications Post Kidney Transplant with Modified Lich-Gregoir Technique for Ureteroneocystostomy

Tumor-resected kidney transplant – a quality of life survey

Contact Info

Product

Resources

About

Restored Kidney Graft From Urologist Referrals for Renal Transplantation

Cited by 9 publications

References 20 publications

Outcomes of Kidney Transplantation by Using the Technique of Renal Artery Anastomosis First

Outcomes of Kidney Transplantation by Using the Technique of Renal Artery Anastomosis First

Preventable Urological Complications Post Kidney Transplant with Modified Lich-Gregoir Technique for Ureteroneocystostomy

Tumor-resected kidney transplant &ndash; a quality of life survey

Contact Info

Product

Resources

About

Tumor-resected kidney transplant – a quality of life survey