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肾移植术后泌尿系统并发症的微创处理。

Minimal-invasive management of urological complications after kidney transplantation.

机构信息

Department of Urology, University Hospital Tübingen, Eberhard Karls University, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Department of Urology and Andrology, Salzburg University Hospital, Paracelsus Medical University, Salzburg, Austria.

出版信息

Int Urol Nephrol. 2021 Jul;53(7):1267-1277. doi: 10.1007/s11255-021-02825-7. Epub 2021 Mar 2.

Abstract

Kidney transplantation represents the gold standard treatment option for patients with end-stage renal disease. Improvements in surgical technique and pharmacologic treatment have continuously prolonged allograft survival in recent years. However, urological complications are frequently observed, leading to both postoperative morbidity and putative deterioration of allograft function. While open redo surgery in these patients is often accompanied by elevated surgical risk, endoscopic management of urological complications is an alternative, minimal-invasive option. In the present article, we reviewed the literature on relevant urological postoperative complications after kidney transplantation and describe preventive approaches during the pre-transplantation assessment and their management using minimal-invasive approaches.

摘要

肾移植是终末期肾病患者的金标准治疗选择。近年来,手术技术和药物治疗的改进不断延长了移植物的存活时间。然而,泌尿科并发症经常发生,导致术后发病率增加和移植物功能潜在恶化。虽然这些患者的开放性再次手术常伴有较高的手术风险,但泌尿科并发症的内镜管理是一种替代的微创选择。本文综述了肾移植后相关泌尿科术后并发症的文献,并描述了在移植前评估中预防这些并发症的方法,以及使用微创方法进行管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58eb/8192401/2893d6342fad/11255_2021_2825_Fig1_HTML.jpg

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