Launois B, Bardaxoglou E, Campion J P, Le Pogamp P, Guille F, Cartier F
Clinique Chirurgicale, Unité de transplantation, Rennes.
Chirurgie. 1990;116(3):282-8; discussion 288-9.
26 urological complications were observed in 25 patients following 333 kidney transplantations. The low incidence of these complications (7.8%) is largely due to the systematic resort to the Leadbetter-Politano ureterovesical anastomosis, except in one case (uretero-ureterostomy due to the shortness of the graft). We recorded 9 urinary fistulae and 17 cases of ureteral obstruction. Urinary lithiasis was excluded from this work. Urinary fistulae occur almost only between the second week and the end of the first month. Ureteral obstructions occur relatively early (within 30 days in 14 cases and within the first 48 hours in 9 cases). Two grafts were lost (8% of complications, but 0.6% of the entire series), and one patient died following transplantectomy. In 10 of 26 cases (38.5%), the etiology of the urological complication was related to the harvesting technique (2 short ureters, 8 ischemic ureters).
在333例肾移植后的25例患者中观察到26例泌尿系统并发症。这些并发症的低发生率（7.8%）主要归因于系统性地采用利德贝特-波利塔诺输尿管膀胱吻合术，仅1例除外（因移植肾短而行输尿管-输尿管吻合术）。我们记录了9例尿瘘和17例输尿管梗阻病例。本研究未纳入尿路结石。尿瘘几乎仅发生在第二周和第一个月末之间。输尿管梗阻出现相对较早（14例在30天内，9例在最初48小时内）。2例移植肾丢失（占并发症的8%，但占整个系列的0.6%），1例患者在肾切除术后死亡。在26例病例中的10例（38.5%），泌尿系统并发症的病因与摘取技术有关（2例输尿管短，8例输尿管缺血）。
