Bhadauria R P, Ahlawat R, Kumar R V, Srinadh E S, Banerjee G K, Bhandari M
Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Urol Int. 1995;55(1):51-5. doi: 10.1159/000282750.
Allograft lithiasis is usually secondary. Donor-graft lithiasis is a rare cause and only 5 cases have been reported. We report 2 such cases which are the first in the live-related transplantation programme. The pressing need to increase the donor pool in developing countries, safety of therapy in graft lithiasis coupled with minimal estimated risk of lithiasis recurrence in the donor are the main justifications for accepting calculi bearing kidney for transplantation. The 2 cases underwent extracorporeal shockwave lithotripsy using the overhead table module of the Lithostar Plus. The technical ease of lithotripsy using an on-line ultrasound module in these 'ectopically' placed kidneys is discussed. The effect of shockwaves on allograft function was studied by a pre- and post-renal scan (99Tc-DTPA) and serum creatinine. No adverse effect of shockwave on allograft function was noted both on short- and long-term follow-up.
同种异体移植结石通常是继发性的。供体移植物结石是一种罕见的病因，仅报道过5例。我们报告2例此类病例，这是亲属活体移植项目中的首例。在发展中国家，增加供体库的迫切需求、移植结石治疗的安全性以及供体结石复发的估计风险极小，是接受有结石的肾脏进行移植的主要理由。这2例患者使用Lithostar Plus的高架床模块进行了体外冲击波碎石术。讨论了在这些“异位”放置的肾脏中使用在线超声模块进行碎石术的技术便利性。通过术前和术后肾脏扫描（99Tc-DTPA）及血清肌酐研究冲击波对同种异体移植肾功能的影响。在短期和长期随访中均未发现冲击波对同种异体移植肾功能有不良影响。
