Benoit G, Benarbia S, Bellamy J, Charpentier B, Fries D
Presse Med. 1986 Jan 25;15(3):101-4.
Four hundred and thirty renal transplantations have been performed over a 5-year period during which there was a switch of surgical technique towards uretero-vesical anastomosis. In this paper, the urological complications observed are studied according to the site of transplantation, the position of the kidney, the type of anastomosis and the length of the ureter. Kidneys that were transplanted in iliac position gave rise to more complications than those transplanted in pelvic position, and reversing the kidney increased the number of urological complications. The complication rate was 6.7% with the uretero-vesical anastomosis and 12% with the uretero-ureteral anastomosis. The best results were obtained when the kidney was transplanted into the iliac fossa in pelvic position with its upper pole upward and its ureter anastomosed with the bladder: in 274 transplantations performed with this technique the complication rate was 4.7%. This study of different types of transplantation shows that the main factor is the ureteral length utilized: the longer that segment of the ureter, the more numerous the urological complications.
在5年的时间里共进行了430例肾移植手术，在此期间手术技术转向了输尿管膀胱吻合术。在本文中，根据移植部位、肾脏位置、吻合类型和输尿管长度对观察到的泌尿系统并发症进行了研究。移植到髂部位置的肾脏比移植到盆腔位置的肾脏产生更多并发症，而肾脏倒置会增加泌尿系统并发症的数量。输尿管膀胱吻合术的并发症发生率为6.7%，输尿管输尿管吻合术的并发症发生率为12%。当肾脏以盆腔位置移植到髂窝，其上极向上且输尿管与膀胱吻合时，获得了最佳结果：采用该技术进行的274例移植手术中，并发症发生率为4.7%。对不同类型移植的这项研究表明，主要因素是所使用的输尿管长度：输尿管的该段越长，泌尿系统并发症就越多。
