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Transplant Proc. 2003 Nov;35(7):2420-2.

Ureteral implantation technique and urologic complications in adult kidney transplantion.

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1
Section of Transplantation/Hepatobiliary Surgery, Division of General Surgery, Royal Victoria Hospital, McGill University Health Center, McGill University, Montreal, Quebec, Canada.

Abstract

AIM:

To assess the incidence of urological complications and hematuria after adult kidney transplantation using the Lich-Gregoire (LG) versus the Taguchi (T) ureteral implantation technique.

METHODS:

We performed a retrospective analysis of 212 consecutive kidney transplants from our institution using an access database.

RESULTS:

Sixty four patients underwent ureteral implantation using the T technique, and the other 148, the LG implantation. Both groups were matched for donor/recipient characteristics and for cold/warm ischemia times. There were 23 urological complications in 17 patients. Twenty-seven patients developed complicated hematuria. The rates of urinary leak and ureteral stones were not different. There was a higher incidence of permanent ureteral strictures using the LG technique (P =.05). T technique was associated more frequently with hematuria, but there was no difference in the length of stay.

CONCLUSIONS:

We identified an increased incidence of permanent strictures with the LG technique. The rate of hematuria was higher in the T group. Both techniques can be used interchangeably with acceptable rates of urological complications. The simplicity of the T technique has made it the technique of choice in our institution.

PMID:
14611976
[Indexed for MEDLINE]
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