Ghadian Ali Reza, Heidari Fatemeh, Afkhami Ali Reza
Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
Nephrourol Mon. 2014 Jul 5;6(4):e19476. doi: 10.5812/numonthly.19476. eCollection 2014 Jul.
The most important surgical complications of renal transplantation are stenosis and obstruction of anastomosis of the ureter to the bladder. Hence, routine use of ureteral stents to prevent such complications seems logical; however, the optimal time to remove the ureteral stent is still controversial.
The purpose of this study was to compare the benefits and complications of the early or delayed ureteral stent removal post-transplantation.
All patients who underwent kidney transplantation in Modarres Hospital from May 2011 through March 2012 were recruited. The patients were allocated to three groups. Ureteral stent removed 10, 20, and 30 days after transplantation in groups one, two, and three, respectively.
A total of 91 patients had undergone renal transplantation in our center. Ureteral stent was removed at 10, 20, and 30 days after surgery. Urologic complications among the three groups included hydronephrosis, urinoma, and collection around the graft; there was no statistically significant difference among study groups with regard to frequency of complications.
We can remove the ureteral stent at shorter interval after renal transplantation with no increased risk of urologic complications.
肾移植最重要的手术并发症是输尿管与膀胱吻合口的狭窄和梗阻。因此,常规使用输尿管支架来预防此类并发症似乎是合理的;然而,输尿管支架的最佳取出时间仍存在争议。
本研究的目的是比较肾移植后早期或延迟取出输尿管支架的益处和并发症。
招募了2011年5月至2012年3月在莫达雷斯医院接受肾移植的所有患者。将患者分为三组。分别在移植后10、20和30天取出输尿管支架,第一、二、三组依次类推。
本中心共有91例患者接受了肾移植。在术后10、20和30天取出输尿管支架。三组的泌尿系统并发症包括肾积水、尿瘤和移植周围积液;研究组之间并发症发生率无统计学差异。
肾移植后我们可以在更短的时间间隔取出输尿管支架,而不会增加泌尿系统并发症的风险。