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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2020 / Cilt: 26 - Sayı: 2

An updated analysis of the surgical and urological complications of 789 living-related donor kidney transplantations: Experience of a single center

Canlı donörden böbrek transplantasyonunda cerrahi ve ürolojik komplikasyonların 789 olguda güncellenmiş analizi: Tek bir merkez tecrübesi

Tzevat TEFİK
Tayfun OKTAR
Öner ŞANLI
Taner KOÇAK
Selçuk ERDEM
H. Orhan ZİYLAN
İsmet NANE
Pages
197–202
Publication Date
2022-11-05
DOI
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ABSTRACTBACKGROUND: This study aims to review retrospectively the surgical and urological complications encountered in 789 cases of living-related donor kidney transplantations (LRDKTs).METHODS: In this study, the clinical records of 789 LRDKTs, which were performed between 1983 and 2017, were reviewed retrospectively concerning surgical and urological complications.RESULTS: Overall, urological and surgical complications were encountered in 87 (11.02%) of the cases.

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Objective & Hypothesis:ABSTRACTBACKGROUND: This study aims to review retrospectively the surgical and urological complications encountered in 789 cases of living-related donor kidney transplantations (LRDKTs).METHODS: In this study, the clinical records of 789 LRDKTs, which were performed between 1983 and 2017, were reviewed retrospectively concerning surgical and urological complications.RESULTS: Overall, urological and surgical complications were encountered in 87 (11.02%) of the cases.
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Key Findings & Data:Of the 789 patients, urological complications were detected in 44 of them (5.6%), including 8 urinary fistula (with 1 distal ureteral necrosis), 10 ureteric stenosis, 1 renal calculus, 9 symptomatic vesicoureteral reflux and 16 lymphoceles requiring intervention.
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Conclusion & Impact:Although complications still encountered, early identification of these complications with proper management strategies significantly decreases the risk of graft loss.
🔬Design:Review & Systematic Survey
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

ABSTRACTBACKGROUND: This study aims to review retrospectively the surgical and urological complications encountered in 789 cases of living-related donor kidney transplantations (LRDKTs).METHODS: In this study, the clinical records of 789 LRDKTs, which were performed between 1983 and 2017, were reviewed retrospectively concerning surgical and urological complications.RESULTS: Overall, urological and surgical complications were encountered in 87 (11.02%) of the cases. Of the 789 patients, urological complications were detected in 44 of them (5.6%), including 8 urinary fistula (with 1 distal ureteral necrosis), 10 ureteric stenosis, 1 renal calculus, 9 symptomatic vesicoureteral reflux and 16 lymphoceles requiring intervention. As surgical complications (n=43), vascular complications were encountered in 8 cases; there were 5 cases with renal artery stenosis and 3 with renal vein thrombus. Wound infection was detected in 14 patients. Eighteen patients underwent surgical explorations due to perinephric hematoma during the early postoperative period. Renal allograft rupture due to accelerated rejection was developed in 2 cases. A lower segmental arterial injuryoccurred in 1 patient during the operation.CONCLUSION: In our series, urological and surgical complications were detected in 11.02% of the recipients. Although complications still encountered, early identification of these complications with proper management strategies significantly decreases the risk of graft loss.

Özet

AMAÇ: Bu çalışmanın amacı, 789 canlı donörden böbrek transplantasyon (CDBT) olgusunda cerrahi ve ürolojik komplikasyonların geriye dönük olarak değerlendirilmesidir.GEREÇ VE YÖNTEM: Anabilim dalımızda 1983 ve 2017 yılları arasında yapılan 789 CDBT olgusunun klinik bilgileri cerrahi ve ürolojik komplikasyonlar bakımından geriye dönük olarak değerlendirildi.BULGULAR: Ürolojik ve cerrahi komplikasyonlar 87 (%11.02) olguda tespit edildi. Olguların 44’ünde (%5.6) görülen ürolojik komplikasyonlar sekiz olguda üriner fistül (1’i distal üreter nekrozu ile birlikte), 10 olguda üreter stenozu, 1 olguda renal kalkül, 9 olguda semptomatik vezikoüreteral reflü ve 16 hastada girişim gerektiren lenfosel idi. Cerrahi komplikasyonlar ise (n=43), 5’i renal arter stenozu ve 3’ü renal ven trombozu olmak üzere toplam 8 olguda vasküler komplikasyon, 14 yara yeri enfeksiyonu, 18 erken ameliyat sonrası cerrahi eksplorasyon gerektiren perinefrik hematom, 2 akselere rejeksiyon nedeniyle renal allograft rüptürü ve bir ameliyat sırasında alt segmental arter hasarı idi.TARTIŞMA: Çalışmamızda ürolojik ve cerrahi komplikasyonlar alıcıların %11.2’sinde saptanmıştır. Bu komplikasyonların erken tanınması ve uygun stratejilerle yönetilmesi greft kaybı riskini anlamlı ölçüde azaltmaktadır

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Cite This Article

TEFİK, T., OKTAR, T., ŞANLI, Ö., KOÇAK, T., ERDEM, S., ZİYLAN, H. O., NANE, İ. (2022). An updated analysis of the surgical and urological complications of 789 living-related donor kidney transplantations: Experience of a single center. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 26 - Sayı: 2, 197–202. https://ajindex.com/articles/644187

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References (14)

  1. Koçak T, Nane I, Ander H, Ziylan O, Oktar T, Ozsoy C. Urological and surgical complications in 362 consecutive living related donor kidney transplantations. Urol Int 2004;72:252–6
  2. Ohl DA, Konnak JW, Campbell DA, Dafoe DC, Merion RM, Turcotte JG. Extravesical ureteroneocystostomy in renal transplantation. J Urol 1988;139:499–502
  3. Mundy AR, Podesta ML, Bewick M, Rudge CJ, Ellis FG. The urological complications of 1000 renal transplants. Br J Urol 1981;53:397–402
  4. Streeter EH, Little DM, Cranston DW, Morris PJ. The urological complications of renal transplantation: a series of 1535 patients. BJU Int 2002;90:627–34
  5. Mäkisalo H, Eklund B, Salmela K, Isoniemi H, Kyllönen L, Höckerstedt K, et al. Urological complications after 2084 consecutive kidney transplantations. Transplant Proc 1997;29:152−3
  6. Bessede T, Hammoudi Y, Bedretdinova D, Parier B, Francois H, Durrbach A, et al. Preoperative Risk Factors Associated With Urinary Complications After Kidney Transplantation. Transplant Proc 2017;49:2018−24
  7. Raman A, Lam S, Vasilaras A, Joseph D, Wong J, Sved P, et al. Influence of ureteric anastomosis technique on urological complications after kidney transplantation. Transplant Proc 2013;45:1622−4
  8. Butterworth PC, Horsburgh T, Veitch PS, Bell PR, Nicholson ML. Ureterovesical anastomosis in renal transplants: fewer complications with the extravesical technique. Transplant Proc 1997;29:151
  9. Shoskes DA, Hanbury D, Cranston D, Morris PJ. Urological complications in 1,000 consecutive renal transplant recipients. J Urol 1995;153:18–21
  10. Palazzetti A, Oderda M, Dalmasso E, Falcone M, Bosio A, Sedigh O, et al. Urological consequences following renal transplantation: a review of the literature. Urologia 2015;82:211−8
  11. Salomon L, Saporta F, Amsellem D, Hozneck A, Colombel M, Patard JJ, et al. Results of pyeloureterostomy after ureterovesical anastomosis complications in renal transplantation. Urology 1999;53:908−12
  12. Schult M, Küster J, Kliem V, Brunkhorst R, Nashan B, Oldhafer KJ, et al. Native pyeloureterostomy after kidney transplantation: experience in 48 cases. Transpl Int 2000;13:340−3
  13. Dörsam J, Knopp MV, Carl S, Oesingmann N, Schad L, Brkovic D, et al. Ureteral complications after kidney transplantation--evaluation with functional magnetic resonance urography. Transplant Proc 1997;29:132−5
  14. Mangus RS, Haag BW. Stented versus nonstented extravesical ureteroneocystostomy in renal transplantation: a metaanalysis. Am J Transpla