Benoit G, Benarbia S, Bellamy J, Charpentier B, Schrameck E, Fries D
Ann Urol (Paris). 1985;19(3):165-71.
The authors report a series of 430 renal transplantations performed over five years. During this period, the surgical technique was modified to ureterovesical anastomosis. The urological complications--fistulae and stenosis--are discussed as a function of the site of the implantation, the position of the kidney, the type of anastomosis and the length of the ureter. The results show that transplantation in the iliac position gives rise to more complications than transplantation in the pelvic position. They also show that inversion of the superior pole of the kidney leads to a greater number of urological complications. In the series reported, ureterovesical anastomosis gave 6.7% of complications, against 12% for uretero-ureteral anastomosis, which also gave rise to a significantly larger number of fistulae. More detailed study of the series reveals a complication rate of 4.7% for ureterovesical anastomosis (out of 224 patients) against 4% for uretero-ureteral anastomosis, when the ureter was short (in both series). The dominant factor is therefore the length of the ureter; the longer it is, the greater the number of urological complications.
作者报告了在五年内进行的430例肾移植系列手术。在此期间，手术技术改进为输尿管膀胱吻合术。根据植入部位、肾脏位置、吻合类型和输尿管长度，对泌尿系统并发症——瘘管和狭窄进行了讨论。结果表明，髂部移植比盆腔移植产生更多并发症。结果还表明，肾脏上极翻转会导致更多泌尿系统并发症。在所报告的系列手术中，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为12%，后者还产生了明显更多的瘘管。对该系列手术的更详细研究显示，当输尿管较短时（两个系列均如此），输尿管膀胱吻合术的并发症发生率为4.7%（224例患者中），输尿管输尿管吻合术为4%。因此，主导因素是输尿管长度；输尿管越长，泌尿系统并发症数量就越多。
