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생체신이식에서 요로재건술에 따른 요로계 합병증의 차이

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Author(s)
김태국조원현박철희이수형박성배김현철
Keimyung Author(s)
Cho, Won HyunPark, Choal HeePark, Sung BaeKim, Hyun Chul
Department
Dept. of Surgery (외과학)
Dept. of Urology (비뇨의학)
Dept. of Internal Medicine (내과학)
Journal Title
대한이식학회지
Issued Date
1993
Volume
7
Issue
1
Abstract
Urologic complications that occurred in 21 patients of 270 recipients who underwent living donor renal transplantation during past 10 consecutive years since we started our renal transplantation program were reviewed. The first 88 patients were performed modified Politano technique for ureteral reconstruction(group 1) and from them, we experienced 9 cases of urologic complications including 2 ureteral obstruction, 1 vesicoureteral reflux, 1 spontancous graft rupture and 5 intractable gross hematuria.
In the following 182 patients who received extravesical ureteroneocystostomy(group 2), we encountered 3 cases of urinary leakage from ureteroneocystostomy site and 1 case from anterior vesical wall where suprapubic ureterocystomy was done for stenting the re-implantation site. Unskilled technique to the new procedure seemed to be the major cause of these anastomotic site leakage. Vesicoureteric reflux, spontaneous graft kidney rupture and intractable gross bematuria were also seen in three patients but no ureteric obstruction except transient hydroureter.
The frequency and type of complications seen in this article is not sufficient to evaluate the result of both types of ureteral reconstruction technique but the simplicity of extravesical ureteroneocystostomy and less incidence of intractable gross hematuria pushed us extravesical amastomosis as a preferred method.
Alternative Title
A Comparison of Urologic Complications between Extravcvical and Modified Politano Ureteroneocystostomy in Living Donor Renal Transplantation
Keimyung Author(s)(Kor)
조원현
박철희
박성배
김현철
Publisher
School of Medicine
Citation
김태국 et al. (1993). 생체신이식에서 요로재건술에 따른 요로계 합병증의 차이. 대한이식학회지, 7(1), 179–185.
Type
Article
ISSN
1598-1711
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38409
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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