Kidney autotransplant for long ureteral loss: two cases report

Tác giả: Phạm Tấn Phúc
Định dạng tài liệu: Đề tài - Dự án

We report 2 cases of kidney autotransplant for patients with long loss of upper ureter at Hue Central Hospital.

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Ureteral injury occurs due to complications of previous surgery such as endoscopic retrograde lithotripsy and retroperitoneal re - insertion of the ureter into the bladder with ureteral stone removal. Two patients had kidney surgery with ureteral lesions grafted into the contralateral iliac fossa: renal artery transplantation into the external iliac artery, renal vein into the external iliac vein by end - to - side anastomography and ureteroscopy by Boari flap (case 1) and Lich - Gregoir procedure (case 2). Both patients were discharged after 2 weeks, and the JJ catheter was removed after 1 month. Post - operative follow - up 2 patients were completely healthy, the parameters of the transplanted kidney were within normal level. The success is a premise for us to indicate kidney autotransplant incase long ureteral loss, complicated renal vascular disease, large kidney tumor, large kidney stone.

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