OUR EXPERIENCE WITH KIDNEY AUTOTRANSPLANTATION


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Abstract

The first kidney autotransplantation was performed in 1902; over time, surgical technique has undergone a number of changes. In the USSR, the first successful kidney autotransplantation was performed in 1975 by V.S. Ryabinsky and I.S. Kolpakov in a patient with ureteral stricture. Three clinical observations on the kidney autotransplantation in urological and oncological practice are presented in the article. Kidney autotransplantation is the method of choice in the treatment of ureteral strictures, aimed at preserving renal function. In oncological practice there is a tendency in patients with non-organ retroperitoneal tumors to abandon cytoreductive surgery in favor of a kidney-sparing procedures, removal of highly differentiated non-organ retroperitoneal tumors by separate “compartments” in order to maximize organ preservation, followed by kidney autotransplantation. Our clinical observations from urological and oncological practice and the following discussion show the possibility of safe kidney autotransplantation in highly selected cases.

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About the authors

S. V Arzumanov

National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation

Email: kidneytranspl@gmail.com
PhD, Head of the Department of transplantation and renal replacement therapy of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - Branch Moscow, Russia

N. V Polyakov

National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation

Email: nikp73@bk.ru
PhD, Head of the Reconstructive Urology Group of the Department of General and Reconstructive Urology of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - Branch Moscow, Russia

A. B Ryabov

National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation

Email: ryabovdoc@mail.ru
Doctor of Medical Sciences, Professor, Deputy Director for Surgery, Head of the Department of Thoracoabdominal Oncosurgery of the P. Hertsen Moscow Oncology Research Institute Branch Moscow, Russia

D. A Galitskaya

National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation

Email: dgalitsk@gmail.com
Postgraduate student 1-st year, Junior Researcher, Pediatric Urology Group. N. Lopatkin’s Research Institute of Urology and Interventional Radiology - branch Moscow, Russia

References

  1. Langer R., Kahan В. 100 years ago - Ullmann’s pioneering operationautotransplantation of the kidney. Transplant. Proc. 2002;34:429-433. doi: 10.1016/S0041-1345(02)02642-8.
  2. Nagy J. A note on the early history of renal transplantation: Emerich (Imre) Ullmann. Am. J. Nephrol. 1999;19(2):346-349. doi: 10.1159/000013474.
  3. Carrel A. Transplantation in mass of the kidneys. J. Exp. Med. 1908;10(1):98-140. Foi: 10.1084/jem.l0.1.98.
  4. Abramyan S., Hanlon M. Kidney Transplantation. 2022;4. In: StatPearls [Internet], Treasure Island (FL): StatPearls Publishing; 2022. PMID: 33620832
  5. Hardy J.D., Eraslan S. Autotransplantation of the Kidney for High Ureteral Injury. J. Urol. 1963;90(5):563-572. doi: 10.1016/s0022-5347(17)64454-9.
  6. Lopatkin N.A., Lopukhin I.M., Pytel’ I.A., Kuchinski I.N., Viazova O.I., Kozlov V.P. Transplantation of cadaveric kidney. Urol. Nefrol. (Mosk). 1967;32(5):34-48.Russian. PMID: 4904760.
  7. Lopatkin N.A. Aorto-arterioanastomosis in transplantation of cadaver kidney with multiple arteries. Urol. Nefrol. (Mosk). 1967;32(1):53-54.Russian. PMID: 4889587.
  8. Lopatkin N.A., Pytel’ I.A. Creation of temporary blood circulation in the transplanted cadaveric kidney with the aid of the arteriovenous anastomosis of the recipient. Urol. Nefrol. (Mosk). 1967;32(2):48-51.Russian. PMID: 4907666.
  9. Lopukhin I.M., Lopatkin N.A., Kuchinski I.N. Cadaveric kidney transplantation in the complex treatment of terminal stages of chronic renal insufficiency. Klin. Med. (Mosk). 1969;47(3):3-11.Russian. PMID: 4944006.
  10. Lopatkin N.A., Riabinski V.S., Viazova O.I. Pathological processes in a transplanted kidney and their early detection. Sov. Med. 1969;32(1):17-21.Russian. PMID: 5385209.
  11. Lopatkin N.A., Lopukhin Y.M., Shemetov V.D. Activity of certain enzymes in cadaver renal transplants.Int. Urol. Nephrol. 1971 ;3(1):61-65. doi: 10.1007/BF02081798.
  12. Lopukhin I.M., Lopatkin N.A., Shemetov V.D. Activity of urine and blood enzymes in transplantation of a cadaveric kidney. Klin. Med. (Mosk). 1970;48(8):144-148.Russian. PMID: 4319975.
  13. Lopatkin N.A. Reaction of rejection of a transplanted kidney. Urol. Nefrol. (Mosk). 1972;37(1):14-19.Russian. PMID: 4552527.
  14. Рябинский В.С., Колпаков И.С. Аутотрансплантация почки при облитерации мочеточника. Урология И Нефрология. 1975 ; 4(4) : 5 5- 56.
  15. Торгунаков А.П., Панасенков Н.И. Аутотрансплантация почки при вазоренальной гипертензии. Вестник Хирургии им. И.И. Грекова. 1978;(1):105-107.
  16. Lopatkin N.A. Extracorporeal kidney surgery. Z. Urol. Nephrol. 1983;76(12):771-774. German. PMID: 6670382.
  17. Kulaev D.V., Ukhin A.V., Krendel’ B.M., Chushev I.M. Anti-ischemic inosine protection during extracorporeal kidney operations (an experimental study). Urol. Nefrol. (Mosk). 1981;(3):34-36.Russian. PMID: 7268973.
  18. Зотиков А.Е., Адырхаев З.А., Теплов А.А., Грицкевич А.А., Ивандаев А.С., Цыганков В.Н. и др. Использование техники ex vivo у пациента с артериовенозной мальформацией почек при осложнении эндоваскулярного лечения. Ангиология И Сосудистая Хирургия. 2017;23(2):118-125. PMID: 28594804.
  19. Глыбочко П.В., Аляев Ю.Г., Каабак М.М., Григорян В.А., Бабенко Н.Н., Алексеева Т.М. и др. Аутотрансплантация почки при протяженных сужениях мочеточника. Анналы Пластической Реконструктивной И Эстетической Хирургии. 2012;(4):64-69.
  20. Комяков Б.К. Нефрэктомия и экстракорпоральная резекция с противоположной стороны при синхронном раке почек. Урология И Нефрология. 1993;(3):51-52.
  21. Комяков Б.К., Шломин В.В., Гулиев Б.Г., Замятнин С.А., Товстуха Д.В., Нечаев И.И. Резекция почки по поводу рака в условиях ее длительной холодовой ишемии. Медицинский вестник Башкортостана. 2013;8(2):302-304.
  22. Щепотин И.Б., Лукашенко А.В., Васильев О.В., Розумий Д.А., Приймак В.В., Жуков Ю.А. Органосохраняющие операции в лечении забрюшинных опухолей. Онкохирургия. 2010;2(2):54-58.
  23. Расулов Р.И., Муратов А.А., Дворниченко В.В., Мориков Д.Д, Батороев Ю.К., Сонголов Г.И. Аутотрансплантация почки в хирургии ретроперитонеальных сарком. Трансплантология. 2017;9(2):118-124. doi: 10.23873/2074-05062017-9-2-118-124.
  24. Теплов А.А., Грицкевич А.А., Пьяникин С.С., Зотиков А.Е., Адырхаев З.А., Кожанова А.В., и др. Метод экстракорпоральной резекции почки в условиях фармако-холодовой ишемии без пересечения мочеточника с ортотопической реплантацией сосудов при почечно-клеточном раке. Экспериментальная И Клиническая Урология. 2015;(2):52-62
  25. Матвеев В.Б., Перлин Д.В., Фигурин К.М., Волкова М.И. Органосохраняющее лечение рака почки. Практическая Онкология. 2005;(3):162-166.
  26. Зотиков А.Е, Теплов А.А, Грицкевич А.А. Экстракорпоральная хирургия почек и почечных артерий. Фонд «Русские витязи». 2019: 128. 978-5-907245-02-0.
  27. Alameddine M., Moghadamyeghaneh Z., Yusufali A., Collazo A.M., Jue J.S., Zheng I., et al. Kidney Autotransplantation : Between the Past and the Future. Curr. Urol. Rep. 2018; 5;19(3):7. doi: 10.1007/s11934-018-0749-4
  28. Berloco P.B., Battista G., Sandri L., Guglielmo N., Lai Q., Melandro F., et al. Bilateral ex vivo repair and kidney autotransplantation for complex renal artery aneurysms : A case report and literature review.Int. J. Urol. 2014;21(2):219-221. doi: 10.1111/iju.12224.
  29. Zhang H., Li F., Ren H., Zheng Y. Aortic bypass and orthotopic right renal autotransplantation for midaortic syndrome: a case report. BMC Surg. 2014;5(14):86. doi: 10.1186/1471-2482-14-86.
  30. Zhang H.X., Zhao L., Ma L.L., Hou X.F., Liu L., Deng S.H. Retroperitoneal laparoscopic nephrectomy with autotransplantation for severe iatrogenic ureteral injury. Beijing Da Xue Xue Bao Yi Xue Ban. 2016 18;48(4):622- 626. Chinese. PMID: 29263501.
  31. Alizadeh M., Valizadeh R., Rahimi M.M. Immediate successful renal autotransplantation after proximal ureteral avulsion fallowing ureteroscopy: a case report. J. Surg. Case Rep. 2017;2017(2): rjx028. doi: 10.1093/jscr/rjx028.
  32. Cosmai L., Porta C., Gallieni M., Perazella M.A. Onco-nephrology: a decalogue. Nephrol. Dial. Transplant. 2016;31(4):515-519. Doi: 10.1093/ ndt/gfv320.
  33. Mansouri I., Alencar de Pinho N., Snanoudj R., Jacquelinet C., Lassalle M., Béchade C., et al. Trends and Outcomes with Kidney Failure from Antineoplastic Treatments and Urinary Tract Cancer in France. Clin. J. Am. Soc. Nephrol. CJASN. 2020;15(4):484-492. Doi: 10.2215/ CJN.10230819.
  34. Зотиков А.Ж., Ивандаев A.C. История экстракорпоральных вмешательств на почках и почечных артериях. Атеротромбоз. 2020;(1):109-119. doi: 10.21518/2307-1109-2020-1-116-126.
  35. Gil-Vernet J.M. Renal Allotransplantation. Eur. Urol. 1982;8:61-73.
  36. Schackman R., Dempster W.Y. Surgical kidney. A case demonstrated at the Post-Graduate Medical School of London. Br. med. J. 1924 i.v.
  37. Geavlete P., Georgescu D., Ni(ä G., Mirciulescu V., Cauni V.Complications of 2735 retrograde semirigid ureteroscopy procedures: a singlecenter experience. J. Endourol. 2006;20(3):179-185. doi: 10.1089/end.2006.20.179.
  38. Linke C.A., May A.G. Autotransplantation in retroperitoneal fibrosis. J. Urol. 1972;107(2):196-198. doi: 10.1016/s0022-5347(17)60981-9.
  39. Stone J.H., Khosroshahi A., Deshpande V., Chan J.K.C., Heathcote J.G., Aalberse R., et al. Recommendations for the nomenclature of IgG4-related disease and its individual organ system manifestations. Arthritis Rheum. 2012;64(10):3061-3307. doi: 10.1002/art.34593.
  40. Vaglio A., Maritati F. Idiopathic retroperitoneal fibrosis. J. Am. Soc. Nephrol. 2016;27(7):1880-1889. doi: 10.1681/ASN.2015101110.
  41. Seylanova N., Crichton S., Zhang J., Fisher R., Ostermann M. Acute kidney injury in critically ill cancer patients is associated with mortality: A retrospective analysis. PloS. One. 2020;15(5):e0232370. doi: 10.1371/journal.pone.0232370.
  42. MacLennan S, Imamura M, Lapitan MC, Omar MI, Lam TBL, Hilvano-Cabungcal AM, et al. Systematic review of perioperative and quality-of-life outcomes following surgical management of localised renal cancer. Eur. Urol. 2012;62(6):1097-1117.
  43. Расулов Р.И., Дворниченко В.В., Муратов А.А. Экстракорпоральные операции на почке в хирургии и онкологии (обзор литературы). Сибирский онкологический журнал. 2017;16(3):92-98. doi: 10.21294/1814-4861-2017-16-3-92-98.
  44. Chung B.I., Hamawy K.J., Zinman L.N., Libertino J.A. The use of bowel for ureteral replacement for complex ureteral reconstruction: long-term results. J. Urol. 2006;175(1):179-183; discussion 183-184. doi: 10.1016/S0022-5347(05)00061-3.
  45. Berger A., Crouzet S., Canes D., Haber G-P., Gill I.S. Minimally invasive nephron-sparing surgery. Curr. Opin. Urol. 2008;18(5):462-466. doi: 10.1097/M0U.0b013e32830a4f10.
  46. Gwon J.G., Kim Y.H., Han D.J. Real Renal Function After Renal Autotransplantation Through the Analysis of Solitary Kidney Autotransplantation Cases. Transplant. Proc. 2017;49(9):2055-2059. doi: 10.1016/j.transproceed.2017.09.030.
  47. Calne R.Y. Tumour in a single kidney: nephrectomy, excision, and autotransplantation. Lancet Lond. Engl. 1971; 2;2(7727) :761-762. doi: 10.1016/s0140-6736(71)92124-6.
  48. Eisenberg M.L., Lee K.L., Zumrutbas A.E., Meng M.V., Freise C.E., Stoller M.L. Long-term outcomes and late complications of laparoscopic nephrectomy with renal autotransplantation. J. Urol. 2008;179(1):240- 243. doi: 10.1016/j.juro.2007.08.135.
  49. Kutikov A., Uzzo R.G. The R.E.N.A.L. nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth. J. Urol. 2009;182(3):844-853. doi: 10.1016/j.juro.2009.05.035.
  50. Taylor M.J., Baicu S.C. Current state of hypothermic machine perfusion preservation of organs: The clinical perspective. Cryobiology. 2010;60(3):S20-S35. doi: 10.1016/j.cryobiol.2009.10.006.
  51. Badet L., Abdennebi H. Ben., Petruzzo P., McGregor B., Espa M., Hadj-Aissa A., et al. Evaluation of IGL-1, a new organ preservation solution: preclinical results in renal transplantation. Prog. Urol. 2005;15(3):481-488; discussion 487. French. PMID: 16097154.
  52. Novick A.C., Stewart B.H., Straffon R.A. Extracorporeal renal surgery and auto transplantation: Indications, techniques and results. J Urol. 1980;123(6):806-811. doi: 10.1016/s0022-5347(17)56141-8.
  53. Расулов Р.И., Муратов А.А., Дворниченко В.В., Мориков Д.Д., Тетерина Т.П. Реплантация почки при расширенно-комбинированном удалении забрюшинной липосаркомы (клиническое наблюдение). Acta Biomed. Sci. 2017; 2(1(113)):130-135.
  54. Kable T., Alcaraz A., Budde K., Humke U., Karam G., Lucan M., et al. Трансплантация почки: Клинические рекомендации Европейской ассоциации урологов. Федянин М.Ю. Пер. С Англ. М АБВ-Пресс. 2011.
  55. Breda A., Budde K., Figueiredo A., Lledo Garcia E., Olsburgh J., Regele H., et al. EAU guidelines on renal transplantation. Edn. presented at the EAU Annual Congress London. 2017.
  56. deFrancisco A.L.M., Macia M., Alonso F., Garcia P., Gutierrez E., Quintana L.F., et al. Onco-Nephrology: Cancer, chemotherapy and kidney. Nefrol Publicacion Of Soc Espanola Nefrol. (Engl Ed). 2019;39(5):473-481. English, Spanish. doi: 10.1016/j.nefro.2018.10.016.
  57. Rubio-Jurado B., Balderas-Pena L.M-A, Garcia-Luna E.E., Zavala-Cerna M. G., Riebeling-Navarro C., Reyes P.A., et al. Obesity, Thrombotic Risk, and Inflammation in Cancer. Adv Clin Chem. 2018;85:71-89. doi: 10.1016/bs.acc.2018.02.006.

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