Lasaponara F, Manassero F, Catti M, Rossi R, Ferrando U
U.O.A. Urologia 3, Molinette Hospital Turin, Italy.
Minerva Urol Nefrol. 2002 Mar;54(1):9-13.
In the experience of other authors, double kidney transplant have a higher complication rate (30%) if compared with single renal graft. In personal experience the use of small calibre ureteral stents with antireflux valve can reduce this complication rate.
From November 1999 to April 2001, at the A.S.O. S. Giovanni Battista in Turin, we performed 29 double kidney transplantations with the application of small calibre stents in 20 male and 9 female patients, aged 50-74 years. The uretero-neocystostomies were carried out according to Lich-Gregoire technique, and the JJ stents used were pediatric ones, 12 cm long and 4.8 Ch, with antireflux valve.
We complained only 2 urological complications out of 58 anastomoses (distal unilateral ureteral necrosis in 1 case and total ureteral necrosis in the other).
Complication rate is lower than in the literature: the authors suggest that the use of small calibre JJ stents can keep the complication rate low in double kidney transplant.
根据其他作者的经验，与单肾移植相比，双肾移植的并发症发生率更高（30%）。根据个人经验，使用带有抗反流瓣膜的小口径输尿管支架可降低该并发症发生率。
1999年11月至2001年4月，在都灵的圣乔瓦尼·巴蒂斯塔医院，我们对20例男性和9例女性患者（年龄50 - 74岁）进行了29例双肾移植手术，并应用了小口径支架。输尿管膀胱吻合术按照利希 - 格雷瓜尔技术进行，所使用的双J支架为儿科用支架，长12厘米，直径4.8法式，带有抗反流瓣膜。
在58处吻合口中，我们仅发现2例泌尿系统并发症（1例为远端单侧输尿管坏死，另1例为输尿管完全坏死）。
并发症发生率低于文献报道：作者认为，使用小口径双J支架可使双肾移植的并发症发生率保持在较低水平。
