tailieunhanh - surgical results of the ureterovesical reimplantation in renal transplantation from living donor at Vietduc Hospital

Objectives: To evaluate the results of the ureterovesical reimplantation technique in renal transplantation at Vietduc Hospital. Subjects and methods: Descriptive study on 101 patients with end-stage of chronic renal failure, who underwent renal transplantation from living donor at Vietduc Hospital from January 2011 to November 2013. | Journal of military pharmaco-medicine no9-2018 SURGICAL RESULTS OF THE URETEROVESICAL REIMPLANTATION IN RENAL TRANSPLANTATION FROM LIVING DONOR AT VIETDUC HOSPITAL Do Ngoc Son¹; Hoang Long²; Vu Nguyen Khai Ca¹; Nguyen Tien Quyet¹ SUMMARY Objectives: To evaluate the results of the ureterovesical reimplantation technique in renal transplantation at Vietduc Hospital. Subjects and methods: Descriptive study on 101 patients with end-stage of chronic renal failure, who underwent renal transplantation from living donor at Vietduc Hospital from January 2011 to November 2013. Results: 69 males, 32 females, the age arranged from 12 to 63 years. The volume bladder capacity of the recipients was ± mL. The ureter with a length of - 11 cm, most of the right kidney () must be reversed when transplant. The Lich-Grégoir technique with JJ catheter was conducted on all the patients. Mean reimplantation duration was mins (12 - 50 mins); no urine fistulas, ureteral necrosis; 1 patient had ureteral stenosis after removing JJ-stent (). Conclusion: The LichGrégoir technique is easy to perform and has the low rate of urological complication (no urinary leaking and ureteral necrosis); ureteral stenosis was very low. * Keywords: Kidney transplantation; Lich-Grégoir technique; Ureteral stenosis. INTRODUCTION Renal transplantation is one of treatments that effect for end-stage chronic kidney disease. The first case of renal transplantation was done in Vietnam in 1992 at the 103 Military Hospital. Ureterovesical reimplantation is an important technique and is applied after anastomosed vein and artery of transplanted renal. Ureterovesical reimplantation technique through vesica (Politano-Leadbetter) was firstly applied for several cases in Vietnam: 103 Military Hospital, National Peadiatric Hospital, Hue National Hospital, Choray Hospital (1992 - 2004). Recently, this technique is gradually replaced by ureterovesical reimplantation (Lich-Grégoir technique). .