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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/220449
Living donor-gifted allograft lithasis: surgical experience after bench surgery Stone removal and follow-up.
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This study presents the surgical experience and long-term outcomes of living donor kidney transplantations involving asymptomatic kidney stones, using ex vivo fexible ureterorenoscopy (f-URS) during bench surgery for stone removal. Out of 1743
living kidney donors assessed between January 2012 and October 2022, 18 (1%) were diagnosed with urolithiasis. Among them, 12 donors were rejected, and 6 were accepted for kidney donation. Stone removal was successfully performed using f-URS during bench surgery, with no immediate complications or acute rejections observed. The study analyzed six living kidney transplants, of which 4 (67%) donors and three recipients were female, and 4 (67%) donors were blood-related to the recipient. The median age for donors and recipients was 57.5 and 51.5 years, respectively. The stones, primarily located in the lower calyx, had a median size of 6 mm. The median cold ischemia time during surgery was 41.6 min, and ex vivo f-URS ensured complete stone removal in all cases. After a median follow-up of 120 months, the remaining grafts were functioning well, and no urinary stone recurrence was observed in either the recipients or living donors. The fndings suggest that bench f-URS is a safe approach for managing urinary stones in kidney grafts, providing good functional outcomes without stone recurrence in selected cases.
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SIERRA, Alba, CASTILLO, Carlos, CARBONELL, Enric, MUNÍ, Maria, MARTÍNEZ, Carmen, LÓPEZ, Juan manuel, PERI CUSÍ, Lluís, ALCARAZ ASENSIO, Antonio, LUQUE, Maria pilar, MUSQUERA, Mireia. Living donor-gifted allograft lithasis: surgical experience after bench surgery Stone removal and follow-up.. _2023_. [consulta: 25 de febrer de 2026]. ISSN: 2194-7228. [Disponible a: https://hdl.handle.net/2445/220449]