Lord R H, Pepera T, Williams G
Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London.
Br J Urol. 1991 Apr;67(4):349-51. doi: 10.1111/j.1464-410x.1991.tb15159.x.
A series of 23 patients, receiving full immunosuppression following renal transplantation, underwent a uretero- or pyelo-ureterostomy with ligation of the native ureter and no nephrectomy. In 5 patients this was carried out at the time of transplantation because of a short donor ureter and in 18 patients, at a median of 47 days after transplantation, following ureteric complications. With a median follow-up of 22 months, no complications have been seen in relation to the native kidney. Ureteroureterostomy was successful in all but 3 patients. A ureteroureterostomy without native nephrectomy is a safe and effective treatment for the management of ureteric complications following renal transplantation.
23例接受肾移植后全免疫抑制治疗的患者，在未行肾切除术的情况下，进行了输尿管或肾盂输尿管吻合术并结扎了自体输尿管。5例患者因供体输尿管短，在移植时进行了该手术；18例患者在移植后中位时间47天，因输尿管并发症进行了该手术。中位随访22个月，未发现与自体肾相关的并发症。除3例患者外，输尿管输尿管吻合术均成功。对于肾移植后输尿管并发症的处理，不切除自体肾的输尿管输尿管吻合术是一种安全有效的治疗方法。
