Abstract:
UNLABELLED:Orthotopic renal transplant (ORT) is useful in cases of severe atherosclerosis, heterotopic bilateral transplant, unsuitable pelvic vessels and in aortic thrombosis, but it is not available in all the institutions and it is only realized of exceptional form. AIM:To review the indication, surgical technique and outcome of the ORT at our hospital. MATERIAL AND METHODS:The studied included five cases between January 1990 and December 2005. We analyzed several variables: demographic characteristics, characteristics of the donor, ischemia times, evolution of renal function and morbi-mortality associated. RESULTS:Left ORT was performed in three men and two women. Mean patient age was 52+/-5 years, all the patients received kidneys from cadaveric donors. Mean creatinine and urea one month postoperative were 2.2+/-0.72 mg/dl and 103+/-17.2 mg/dl and at 6 months postoperative were 1.8+/-0.59 mg/dl and 78+/-14 mg/dl respectively. Immediately all patients received prophylaxis with low molecular weight heparin but it was indicated antiaggregation to two patients when they left the hospital, anticoagulation to two patients and to one of them was decided to anticoagulation nor antiagregation for history of bled digestive. A patient died for bleeding episode at level of the renal graft six months after the transplant, she was in treatment with dicumarinics, they were indicated by venous deep thrombosis in right leg. The survival a year is 80 % of the graft and the patient. Only two patients returned to hospital later, one of them for presenting an episode of diverticulitis and the other one for renal obstructive failure that needed laying of catheter pig-tail. Four patients presented stenosis of renal native vassels detected in control magnetic nuclear resonance, not symptomatic. There are two patients who take more than three years transplanted with renal stable function (creatinina 1.3 mg/dl and 1.4 mg/dl respectively). CONCLUSION:ORT is an excellent option in patients with co-morbidity increased for atherosclerosis and that cannot be placed in the iliac fossaes.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
De Gracia R,Jiménez C,Gil F,Escuin F,Tabernero A,Sanz A,Hidalgo Ldoi
10.1016/s0210-4806(07)73774-9subject
Has Abstractpub_date
2007-11-01 00:00:00pages
1123-8issue
10eissn
0210-4806issn
1699-7980pii
S0210-4806(07)73774-9journal_volume
31pub_type
杂志文章abstract::The presence of neoplasms in patients with renal transplant in a higher frequency than in general people is known since a long time. The most frequent tumours were the skin tumours, followed by other tumours common in immunosuppressed patients. The ain of this work has been study the frequency, type, diagnosis, treatm...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
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abstract:OBJECTIVES:To disclose the features of bladder cancer in current smokers at diagnosis and to study the differences in recurrence and progression between smokers and non-smokers. PATIENTS & METHODS:786 consecutive patients with bladder cancer from 1991 to 2004 were studied in a retrospective manner and characteristics ...
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abstract::Twenty-nine male children with urethral stenosis, with ages between 7 months and 18 years, were treated by endoscopic surgery. The etiology of their condition was trauma in 21 cases and congenital in 8. Location of the stenosis corresponded in 18 cases to membranous urethra, 7 to bulbar urethra, 2 to penial urethra wh...
journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
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pub_type: 杂志文章
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更新日期:1996-02-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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doi:
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pub_type: 杂志文章
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,多中心研究
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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doi:
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00