Reconstruction of ureteropelvic junction of allotransplantated kidney using contralateral ureter


Дәйексөз келтіру

Толық мәтін

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Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

The article discusses the possible urological complications after kidney transplantation and the possible reasons for their development. The case of using the contralateral ureter in the reconstruction of ureteropelvic junction due to necrosis of the donor ureter in a patient 53 years old is presented. This patient had a history of right kidney transplantation in the left iliac region (28 August 2012,) for 5 degree chronic kidney disease. Ureteropyeloanastomosis with its own ureter was made. In the removed kidney, multilocular cystic clear cell renal cell carcinoma was revealed. After 2 weeks, due to the non-viability of the transplanted kidney ureter, it was decided to isolate the contralateral ureter and perform anastomosis with renal pelvis of donor kidney. In August 20і3, rejection episode was registered, and transplantatectomy was performed. In 29 December 20і3, second kidney transplantation in the right iliac region was performed. 6 months after, the patient's condition is satisfactory. It is emphasized that the use of the contralateral ureter in this patient was a desperate measure, because total necrosis of the ureter, the difficulties in the isolation of the bladder due to adhesions in the retroperitoneal space had not allowed to perform pyelovesicoanastomosis.

Толық мәтін

Рұқсат жабық

Авторлар туралы

A. Sinyutin

A. Yankovoy

Email: 48yankovoy@mail.ru

A. Smolyakov

V. Granki

Әдебиет тізімі

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