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Orthotopic Renal Transplant and Results in 139 Consecutive Cases

1989; Lippincott Williams & Wilkins; Volume: 142; Issue: 2 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)38721-9

1527-3792

J.M. Gil-Vernet, Alfredo Gil‐Vernet, A Caralps, P Carretero, R Talbot-Wright, Jordi Andreu, Jorge Campos,

Organ Donation and Transplantation

No AccessJournal of UrologyOriginal Articles1 Aug 1989Orthotopic Renal Transplant and Results in 139 Consecutive Cases J.M. Gil-Vernet, A. Gil-Vernet, A. Caralps, P. Carretero, R. Talbot-Wright, J. Andreu, and J.A. Campos J.M. Gil-VernetJ.M. Gil-Vernet , A. Gil-VernetA. Gil-Vernet , A. CaralpsA. Caralps , P. CarreteroP. Carretero , R. Talbot-WrightR. Talbot-Wright , J. AndreuJ. Andreu , and J.A. CamposJ.A. Campos View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38721-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Although a commonly performed technique, heterotopic renal transplantation may be a cause of late graft failure owing to ureteral stenosis, urinary fistula and vesicoureteral reflux secondary to the immune response. The new retroperitoneal lumbar approach to the splenic vessels has allowed the orthotopic technique to be developed using the splenic artery or aorta, the renal vein and a pyelo-pyelic anastomosis. In this manner the renal graft is located in an anatomical position that is well protected, and with the recipient urinary tract the normal physiology is preserved with comparatively low complication and mortality rates. A third transplant attempt also is simplified. This method is the only alternative in some cases. Transplant ureter pathology symptoms are not observed. The results of 139 consecutive cases are presented. © 1989 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByPADUCH D, BARRY J, ARSANJANI A and LEMMERS M (2018) INDICATION, SURGICAL TECHNIQUE AND OUTCOME OF ORTHOTOPIC RENAL TRANSPLANTATIONJournal of Urology, VOL. 166, NO. 5, (1647-1650), Online publication date: 1-Nov-2001.FERRI M, RUSSELL J and WHELAN J (2018) ORTHOTOPIC RENAL TRANSPLANTATION IN A PATIENT WITH A MASSIVE PELVIC ARTERIOVENOUS MALFORMATIONJournal of Urology, VOL. 163, NO. 3, (899-899), Online publication date: 1-Mar-2000.Shoskes D, Hanbury D, Cranston D and Morris P (2018) Urological Complications in 1,000 Consecutive Renal Transplant RecipientsJournal of Urology, VOL. 153, NO. 1, (18-21), Online publication date: 1-Jan-1995.Hayes J (2018) The Transplantation of Difficult Donor Kidneys and Recipients: Helpful Surgical TechniquesJournal of Urology, VOL. 149, NO. 2, (250-254), Online publication date: 1-Feb-1993.Rosenthal J and Loo R (2018) Portal Venous Drainage for Cadaveric Renal TransplantationJournal of Urology, VOL. 144, NO. 4, (969-971), Online publication date: 1-Oct-1990. Volume 142Issue 2 Part 1August 1989Page: 248-252 Advertisement Copyright & Permissions© 1989 by The American Urological Association Education and Research, Inc.MetricsAuthor Information J.M. Gil-Vernet More articles by this author A. Gil-Vernet More articles by this author A. Caralps More articles by this author P. Carretero More articles by this author R. Talbot-Wright More articles by this author J. Andreu More articles by this author J.A. Campos More articles by this author Expand All Advertisement PDF DownloadLoading ...