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2023-06-26

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cc by (c) Sierra, Alba et al., 2023
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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Recurs relacionat

https://doi.org/10.1007/s00240-023-01463-1

Resum

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.

Matèries

Càlculs renals, Trasplantament renal, Malalties del ronyó, Urologia

Matèries (anglès)

Kidney calculi, Kidney transplantation, Kidney diseases, Urology

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Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)

Citació

SIERRA, Alba, et al. Living donor-gifted allograft lithasis: surgical experience after bench surgery Stone removal and follow-up. 2023. ISSN 2194-7228. [consulted: 24 of May of 2026]. Available at: https://hdl.handle.net/2445/220449

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