Percutaneous nephrolithotomy in a patient after liver transplantation

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Abstract

The work is devoted to the description of percutaneous nephrolithotomy in a patient who previously underwent liver transplantation. In case of immunodeficiency of any etiology, one-stage non-severe kidney injury is less dangerous compared to infectious and inflammatory complications, which naturally have more severe course compared to in those with intact immune system. Based on these considerations, the patient underwent percutaneous nephrolithotomy, which allowed to remove the stone of 2.5 cm in size without any complications. The choice of surgical treatment and management tactics for this category of patients are described in detail in the article.

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About the authors

A. G. Martov

GBUZ “City clinical hospital named after D.D. Pletnev of the Health Department c. Moscow”; A.I. Burnazyan SRC FMBC, FMBA of Russia; Research and Educational Center of Moscow State University by Lomonosov

Author for correspondence.
Email: martovalex@mail.ru

corresponding member of RAS, Ph.D., MD, Professor, Head of the Department of Urology and Andrology, leading researcher at the Department of Urology and Andrology of Medical Scientific and Educational Center, Head of the urologic department

Russian Federation, Moscow; Moscow; Moscow

S. V. Dutov

GBUZ “City clinical hospital named after D.D. Pletnev of the Health Department c. Moscow”; A.I. Burnazyan SRC FMBC, FMBA of Russia

Email: hammerwise@gmail.com

Ph.D., assistant at the Department of Urology and Andrology, urologist at the Urologic department

Russian Federation, Moscow; Moscow

Sh. Z. Khayridinov

A.I. Burnazyan SRC FMBC, FMBA of Russia

Email: Khayridinov.1995@mail.ru

resident at the Department of Urology and Andrology

Russian Federation, Moscow

S. K. Yarovoy

N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation

Email: Yarovoy.sk@yandex.ru

Ph.D., MD, professor, clinical pharmacologist

Russian Federation, Moscow

A. S. Andronov

GBUZ “City clinical hospital named after D.D. Pletnev of the Health Department c. Moscow”; A.I. Burnazyan SRC FMBC, FMBA of Russia

Email: dr.andronov@mail.ru

Ph.D., associate professor at the Department of Urology and Andrology

Russian Federation, Moscow; Moscow

S. I. Kozachikhina

GBUZ “City clinical hospital named after D.D. Pletnev of the Health Department c. Moscow”

Email: safondick@gmail.com

urologist at the Urologic department

Russian Federation, Moscow

M. M. Adilkhanov

GBUZ “City clinical hospital named after D.D. Pletnev of the Health Department c. Moscow”

Email: dr.adilhanov@mail.ru

urologist at the Urologic department

Russian Federation, Moscow

S. E. Voskanyan

A.I. Burnazyan SRC FMBC, FMBA of Russia

Email: dr.adilhanov@mail.ru

corresponding member of RAS, Ph.D., MD, Chief of Center of Surgery and Transplantology

Russian Federation, Moscow

References

  1. Liver transplantation. National clinical guidelines. 2013. p. 42. Russian (Трансплантация печени. Национальные клинические рекомендации. 2013. С. 42).
  2. Perioperative management of patients with concomitant liver diseases. Clinical recommendations. 2018. p. 50. Russian (Периоперационное ведение пациентов с сопутствующими заболеваниями печени. Клинические рекомендации. 2018. С. 50).
  3. Orazgaliev T.B. Urological complications in kidney transplantation. Bulletin of Surgery of Kazakhstan. 2009;3:31–33. Russian (Оразгалиев Т.Б. Урологические осложнения в трансплантации почки. Вестник хирургии Казахстана. 2009;3:31–33).
  4. Serrano-Salazar M., Medina-Zahonero L., et al. Kidney transplantation in patients with chronic kidney disease after a previous lung transplantation. Transplantation proceedings. 2019;51(2):324–327.
  5. Wu L-Y, Liu H. Kidney transplantation after liver transplantation. Hepatobiliary&Pancreatic diseases international. 2016;15(4):439–442.
  6. El-Nahas A.R., El-Assmy A.M., Mansour O., Sheir K.Z. A prospective multivariate analysis of factors predicting stone disintegration by extracorporeal shock wave lithotripsy: the value of high-resolution noncontrast computed tomography. Eur Urol. 2007;51:1688–1693.
  7. Martov A.G., Penyukova I.V., Moskalenko S.A., Penyukov V.G., Penyukov D.V., Balykov I.S. Extracorporeal shockwave lithotripsy of stones in lower calices of kidney. Urologiia. 2013;3:10–18. Russian (Мартов А.Г., Пенюкова И.В., Москаленко С.А. и др. Дистанционная ударно-волновая литотрипсия камней нижней группы чашечек почки. Урология. 2013;3:10–18).
  8. Jung G., Jung J., Ahn T. et al. Comparison of retrograde intrarenal surgery versus a single-session percutaneous nephrolithotomy for lower-pole stones with a diameter of 15 to 30 mm: A propensity score-matching study. Korean J Urol 2015;56:525–532.
  9. Doizi S., Letendre J., Bonneau C., Gil Diez de Medina S., Traxer O. Comparative study of the treatment of renal stones with flexible ureterorenoscopy in normal weight, obese, and morbidly obese patients. Urology. 2015 Jan;85(1):38–34.
  10. EAU Guidelines, 2021

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Multispiral computed tomography of the kidneys (A — native, B — with contrast, C — 3D reconstruction native, D — 3D reconstruction with contrast. Concretion of the pelvis of the right kidney up to 2.3 cm in size

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3. Fig. 2. X-ray (during surgery, in a position on the stomach): retrograde ureteropyelography was performed. In the pelvis of the right kidney, a defect in the filling of the contrast preparation is determined, corresponding to concretions up to 2.3 cm in size. A puncture needle when performing access through the lower group of cups

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4. Fig. 3. Overview urography (after surgery): the shadow of nephrostomy drainage is determined in the projection of the right kidney. Shadows suspicious of concretions were not detected

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