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Organo Oficial de la Sociedad Mexicana de Urología

2007, Number 4

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Rev Mex Urol 2007; 67 (4)

Experiencia de 10 años con ureteroneocistoanastomosis tipo Lich-Gregoir modificada sin colocación de ferulización en trasplante renal en el Hospital 1° de Octubre ISSSTE

Cruz RM, Contreras GN, Jaramillo PRE, Xavier QRY, Adame PNM, Osio SM

Language: Spanish
References: 18
Page: 230-234
PDF size: 1156.32 Kb.


ABSTRACT

In this study, we evaluate our experience with extravesical re-implantation type Lich-Gregoir without stenting. From january 1997 to november 2006, 215 renal transplantation were performed at our institution, 203 were retrieved by open nephrectomy and 12 were retrieved by cadaver donation. The ureteroneocystostomy type Lich-Gregoir performed without stenting. 4 (1.8%) patients developed urinary leak, applying extravesical re-reimplantation, 2 (0.9%) developed ureteral necrosis applying Boari flap with psoas hitch, 1 (0.46%) developed delayed stenosis and was successfully treated with retrograde balloon dilatation and stenting. All patients with functioning grafts after complications resolved. We conclude that the extravesical reimplantation without stenting is an effective and safe technique in renal transplantation.


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