World Journal of Nephrology and Urology, ISSN 1927-1239 print, 1927-1247 online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Nephrol Urol and Elmer Press Inc
Journal website http://www.wjnu.org

Original Article

Volume 1, Number 2-3, June 2012, pages 73-78


Impact of Open Vs Laparoscopic Kidney Harvesting and Routine Use of Double J Stent on Longterm Outcome of Ureteral Complications in Renal Transplants

Figures

Figure 1.
Figure 1. PCN done for hydronephrosis of transplant kidney despite stent in place.
Figure 2.
Figure 2. Nephrostogram in same patient reveal obstruction at the ureteroneocystostomy level, later cause was found out to be ureteral necrosis.

Tables

Table 1. Overall Complications
 
stentedNon stentedOverallP value
Ureteral leak0.4% (8/1757)6.1% (13/213)1.07%P < 0.05
Ureteral stenosis0.6% (11/1757)2.3% (5/213)0.8%P < 0.08

 

Table 2. Treatment Options for Ureteral Leak
 
Treatment option% (patients treated/total patients with complications)
Per urethral catheter61% (13/21)
PCN and antegrade DJS19% (4/21)
Open surgery23% (5/21)

 

Table 3. Treatment Options for Ureteral Stenosis
 
Treatment option% (patients treated/total patients with complications)
PCN and antegrade DJS69% (11/16)
Surgery (pyeloureterostomy or pyeloplasty)31% (5/16)

 

Table 4. Comparisons of Open and Laparoscopic Live Donor Nephrectomy
 
Laparoscopic donor nephrectomyOpen donor nephrectomyP-value
Urinary leak3/800 (0.3%)18/1170 (1.5%)0.12
Ureteral stenosis6/800 (0.75%)11/1170 (0.9%)0.48