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Hiroshima Journal of Medical Sciences 33 巻 4 号
1984-12 発行
Urological Complications of Ureteroneocystostomy in Renal Transplantation : A Comparison between Intravesical Ureteroneocystostomy and Extravesical Ureteroneocystostomy
腎移植における Ureteroneocystostomy の問題点 : Intravesical UreteroneocystostomyとExtravesical Ureteroneocystostomy の比較
Dori Kiyohiko
Fukuda Yasuhiko
Asahara Toshimasa
Tabe Yasuji
Yahata Hiroshi
Takenaka Masaharu
Ono Eiji
Marubayashi Seiji
Omotehara Tamon
Eto Takaaki
Sugino Keiso
Sumimoto Kazuo
Inagaki Kazuro
Ezaki Haruo
Abstract
The authors have made extensive studies of ureteroneocystostomies, that are intravesical and extravesical methods, and postoperative urological complications on 58 cases of living related renal transplants and 12 cases of cadaveric renal transplants at the Second Department of Surgery, Hiroshima University School of Medicine.
Among the 21 cases in whom intravesical ureteroneocystostomy was employed, there was one case of urinary fistula.
Among the 49 cases in whom extravesical ureteroneocystostomy was employed, two case of postoperative bleeding, a case of stenosis of the ureter and a case of urinary fistula of the anastomosis were observed.
There was one case of graft loss in each method, but no case died.
The incidence of complications is low on both methods. But extravesical ureteroneocystostomy does not require a large incision of the vesical wall and is advantageous in having a possibility to conduct the submucosal tunnel visually and a easy doing of anastomosis between the ureter and the vesical mucosa.
Then, the procedure of our modified extravesical ureteroneocytostomy was reported.
Among the 21 cases in whom intravesical ureteroneocystostomy was employed, there was one case of urinary fistula.
Among the 49 cases in whom extravesical ureteroneocystostomy was employed, two case of postoperative bleeding, a case of stenosis of the ureter and a case of urinary fistula of the anastomosis were observed.
There was one case of graft loss in each method, but no case died.
The incidence of complications is low on both methods. But extravesical ureteroneocystostomy does not require a large incision of the vesical wall and is advantageous in having a possibility to conduct the submucosal tunnel visually and a easy doing of anastomosis between the ureter and the vesical mucosa.
Then, the procedure of our modified extravesical ureteroneocytostomy was reported.
About This Article
著者キーワード
Renal transplantation
Extravesical ureteroneosystostomy
Urologic complication
Other Article
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