Surgical treatment of urologic complications in kidney transplantation
Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the uro...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
1988 |
|---|
| Umfang: |
3 |
|---|
| Reproduktion: |
Springer Online Journal Archives 1860-2002 |
|---|---|
| Übergeordnetes Werk: |
in: World journal of urology - 1983, 6(1988) vom: Feb., Seite 75-77 |
| Übergeordnetes Werk: |
volume:6 ; year:1988 ; month:02 ; pages:75-77 ; extent:3 |
| Links: |
|---|
| Katalog-ID: |
NLEJ20331722X |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLEJ20331722X | ||
| 003 | DE-627 | ||
| 005 | 20210706123424.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 070528s1988 xx |||||o 00| ||eng c | ||
| 035 | |a (DE-627)NLEJ20331722X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 245 | 1 | 0 | |a Surgical treatment of urologic complications in kidney transplantation |
| 264 | 1 | |c 1988 | |
| 300 | |a 3 | ||
| 336 | |a nicht spezifiziert |b zzz |2 rdacontent | ||
| 337 | |a nicht spezifiziert |b z |2 rdamedia | ||
| 338 | |a nicht spezifiziert |b zu |2 rdacarrier | ||
| 520 | |a Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. | ||
| 533 | |f Springer Online Journal Archives 1860-2002 | ||
| 700 | 1 | |a Debruyne, F. M. J. |4 oth | |
| 700 | 1 | |a Hoitsma, A. J. |4 oth | |
| 700 | 1 | |a Arendsen, E. H. |4 oth | |
| 700 | 1 | |a Oosterhof, G. O. N. |4 oth | |
| 773 | 0 | 8 | |i in |t World journal of urology |d 1983 |g 6(1988) vom: Feb., Seite 75-77 |w (DE-627)NLEJ188992332 |w (DE-600)1463303-6 |x 1433-8726 |7 nnns |
| 773 | 1 | 8 | |g volume:6 |g year:1988 |g month:02 |g pages:75-77 |g extent:3 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/BF00326619 |
| 912 | |a GBV_USEFLAG_U | ||
| 912 | |a ZDB-1-SOJ | ||
| 912 | |a GBV_NL_ARTICLE | ||
| 951 | |a AR | ||
| 952 | |d 6 |j 1988 |c 2 |h 75-77 |g 3 | ||
| matchkey_str |
article:14338726:1988----::ugclramnouooicmlctosni |
|---|---|
| hierarchy_sort_str |
1988 |
| publishDate |
1988 |
| allfields |
(DE-627)NLEJ20331722X DE-627 ger DE-627 rakwb eng Surgical treatment of urologic complications in kidney transplantation 1988 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. Springer Online Journal Archives 1860-2002 Debruyne, F. M. J. oth Hoitsma, A. J. oth Arendsen, E. H. oth Oosterhof, G. O. N. oth in World journal of urology 1983 6(1988) vom: Feb., Seite 75-77 (DE-627)NLEJ188992332 (DE-600)1463303-6 1433-8726 nnns volume:6 year:1988 month:02 pages:75-77 extent:3 http://dx.doi.org/10.1007/BF00326619 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 6 1988 2 75-77 3 |
| spelling |
(DE-627)NLEJ20331722X DE-627 ger DE-627 rakwb eng Surgical treatment of urologic complications in kidney transplantation 1988 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. Springer Online Journal Archives 1860-2002 Debruyne, F. M. J. oth Hoitsma, A. J. oth Arendsen, E. H. oth Oosterhof, G. O. N. oth in World journal of urology 1983 6(1988) vom: Feb., Seite 75-77 (DE-627)NLEJ188992332 (DE-600)1463303-6 1433-8726 nnns volume:6 year:1988 month:02 pages:75-77 extent:3 http://dx.doi.org/10.1007/BF00326619 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 6 1988 2 75-77 3 |
| allfields_unstemmed |
(DE-627)NLEJ20331722X DE-627 ger DE-627 rakwb eng Surgical treatment of urologic complications in kidney transplantation 1988 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. Springer Online Journal Archives 1860-2002 Debruyne, F. M. J. oth Hoitsma, A. J. oth Arendsen, E. H. oth Oosterhof, G. O. N. oth in World journal of urology 1983 6(1988) vom: Feb., Seite 75-77 (DE-627)NLEJ188992332 (DE-600)1463303-6 1433-8726 nnns volume:6 year:1988 month:02 pages:75-77 extent:3 http://dx.doi.org/10.1007/BF00326619 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 6 1988 2 75-77 3 |
| allfieldsGer |
(DE-627)NLEJ20331722X DE-627 ger DE-627 rakwb eng Surgical treatment of urologic complications in kidney transplantation 1988 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. Springer Online Journal Archives 1860-2002 Debruyne, F. M. J. oth Hoitsma, A. J. oth Arendsen, E. H. oth Oosterhof, G. O. N. oth in World journal of urology 1983 6(1988) vom: Feb., Seite 75-77 (DE-627)NLEJ188992332 (DE-600)1463303-6 1433-8726 nnns volume:6 year:1988 month:02 pages:75-77 extent:3 http://dx.doi.org/10.1007/BF00326619 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 6 1988 2 75-77 3 |
| allfieldsSound |
(DE-627)NLEJ20331722X DE-627 ger DE-627 rakwb eng Surgical treatment of urologic complications in kidney transplantation 1988 3 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. Springer Online Journal Archives 1860-2002 Debruyne, F. M. J. oth Hoitsma, A. J. oth Arendsen, E. H. oth Oosterhof, G. O. N. oth in World journal of urology 1983 6(1988) vom: Feb., Seite 75-77 (DE-627)NLEJ188992332 (DE-600)1463303-6 1433-8726 nnns volume:6 year:1988 month:02 pages:75-77 extent:3 http://dx.doi.org/10.1007/BF00326619 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 6 1988 2 75-77 3 |
| language |
English |
| source |
in World journal of urology 6(1988) vom: Feb., Seite 75-77 volume:6 year:1988 month:02 pages:75-77 extent:3 |
| sourceStr |
in World journal of urology 6(1988) vom: Feb., Seite 75-77 volume:6 year:1988 month:02 pages:75-77 extent:3 |
| format_phy_str_mv |
Article |
| institution |
findex.gbv.de |
| isfreeaccess_bool |
false |
| container_title |
World journal of urology |
| authorswithroles_txt_mv |
Debruyne, F. M. J. @@oth@@ Hoitsma, A. J. @@oth@@ Arendsen, E. H. @@oth@@ Oosterhof, G. O. N. @@oth@@ |
| publishDateDaySort_date |
1988-02-01T00:00:00Z |
| hierarchy_top_id |
NLEJ188992332 |
| id |
NLEJ20331722X |
| language_de |
englisch |
| fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">NLEJ20331722X</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20210706123424.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">070528s1988 xx |||||o 00| ||eng c</controlfield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)NLEJ20331722X</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Surgical treatment of urologic complications in kidney transplantation</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">1988</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">3</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zzz</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">z</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zu</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction.</subfield></datafield><datafield tag="533" ind1=" " ind2=" "><subfield code="f">Springer Online Journal Archives 1860-2002</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Debruyne, F. M. J.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hoitsma, A. J.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Arendsen, E. H.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Oosterhof, G. O. N.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">in</subfield><subfield code="t">World journal of urology</subfield><subfield code="d">1983</subfield><subfield code="g">6(1988) vom: Feb., Seite 75-77</subfield><subfield code="w">(DE-627)NLEJ188992332</subfield><subfield code="w">(DE-600)1463303-6</subfield><subfield code="x">1433-8726</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:6</subfield><subfield code="g">year:1988</subfield><subfield code="g">month:02</subfield><subfield code="g">pages:75-77</subfield><subfield code="g">extent:3</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">http://dx.doi.org/10.1007/BF00326619</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_U</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-1-SOJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_NL_ARTICLE</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">6</subfield><subfield code="j">1988</subfield><subfield code="c">2</subfield><subfield code="h">75-77</subfield><subfield code="g">3</subfield></datafield></record></collection>
|
| series2 |
Springer Online Journal Archives 1860-2002 |
| ppnlink_with_tag_str_mv |
@@773@@(DE-627)NLEJ188992332 |
| format |
electronic Article |
| delete_txt_mv |
keep |
| collection |
NL |
| remote_str |
true |
| illustrated |
Not Illustrated |
| issn |
1433-8726 |
| topic_title |
Surgical treatment of urologic complications in kidney transplantation |
| format_facet |
Elektronische Aufsätze Aufsätze Elektronische Ressource |
| format_main_str_mv |
Text Zeitschrift/Artikel |
| carriertype_str_mv |
zu |
| author2_variant |
f m j d fmj fmjd a j h aj ajh e h a eh eha g o n o gon gono |
| hierarchy_parent_title |
World journal of urology |
| hierarchy_parent_id |
NLEJ188992332 |
| hierarchy_top_title |
World journal of urology |
| isfreeaccess_txt |
false |
| familylinks_str_mv |
(DE-627)NLEJ188992332 (DE-600)1463303-6 |
| title |
Surgical treatment of urologic complications in kidney transplantation |
| spellingShingle |
Surgical treatment of urologic complications in kidney transplantation |
| ctrlnum |
(DE-627)NLEJ20331722X |
| title_full |
Surgical treatment of urologic complications in kidney transplantation |
| journal |
World journal of urology |
| journalStr |
World journal of urology |
| lang_code |
eng |
| isOA_bool |
false |
| recordtype |
marc |
| publishDateSort |
1988 |
| contenttype_str_mv |
zzz |
| container_start_page |
75 |
| container_volume |
6 |
| physical |
3 |
| format_se |
Elektronische Aufsätze |
| title_sort |
surgical treatment of urologic complications in kidney transplantation |
| title_auth |
Surgical treatment of urologic complications in kidney transplantation |
| abstract |
Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. |
| abstractGer |
Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. |
| abstract_unstemmed |
Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction. |
| collection_details |
GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE |
| title_short |
Surgical treatment of urologic complications in kidney transplantation |
| url |
http://dx.doi.org/10.1007/BF00326619 |
| remote_bool |
true |
| author2 |
Debruyne, F. M. J. Hoitsma, A. J. Arendsen, E. H. Oosterhof, G. O. N. |
| author2Str |
Debruyne, F. M. J. Hoitsma, A. J. Arendsen, E. H. Oosterhof, G. O. N. |
| ppnlink |
NLEJ188992332 |
| mediatype_str_mv |
z |
| isOA_txt |
false |
| hochschulschrift_bool |
false |
| author2_role |
oth oth oth oth |
| up_date |
2024-07-06T10:22:01.650Z |
| _version_ |
1803824735610470400 |
| fullrecord_marcxml |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">NLEJ20331722X</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20210706123424.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">070528s1988 xx |||||o 00| ||eng c</controlfield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)NLEJ20331722X</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Surgical treatment of urologic complications in kidney transplantation</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">1988</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">3</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zzz</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">z</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zu</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Summary Between January 1973 and December 1987 we carried out 846 kidney transplants using a transvesical end-to-side implantation of the ureter in the bladder without an antireflux mechanism. Moreover, 22 transplantations were carried out in 19 patients with a urinary diversion. We examined the urologic complications in these 868 consecutive transplants. Urinary leakage and obstruction were the two main urologic posttransplant complications. Severe leakage occurred in 17 patients (1.9%) and was treated by open surgery; the treatment of choice is a pyeloureterostomy (anastomosis between the transplant renal pelvis and the native ureter). There were 33 patients (3.8%) with severe ureteral obstructions. In 28 patients, open surgical treatment of the obstruction was necessary, and 5 patients required percutaneous endourologic treatment (dilitation of a confined ureteral stricture in 4 patients and percutaneous stone treatment in 1). The postoperative mortality was low: three patients (6%) died, two of septicemia due to leakage and one of pulmonary embolism after repair of the obstruction. The results of surgical treatment were good. The graft survival after 2 years in the group of urologically complicated transplants was 69.2% for the patients with leakage and 82.4% for those with obstructions. We conclude from these results that urologic complications after renal transplantation can be successfully treated by surgical (or percutaneous) correction.</subfield></datafield><datafield tag="533" ind1=" " ind2=" "><subfield code="f">Springer Online Journal Archives 1860-2002</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Debruyne, F. M. J.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hoitsma, A. J.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Arendsen, E. H.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Oosterhof, G. O. N.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">in</subfield><subfield code="t">World journal of urology</subfield><subfield code="d">1983</subfield><subfield code="g">6(1988) vom: Feb., Seite 75-77</subfield><subfield code="w">(DE-627)NLEJ188992332</subfield><subfield code="w">(DE-600)1463303-6</subfield><subfield code="x">1433-8726</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:6</subfield><subfield code="g">year:1988</subfield><subfield code="g">month:02</subfield><subfield code="g">pages:75-77</subfield><subfield code="g">extent:3</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">http://dx.doi.org/10.1007/BF00326619</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_U</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-1-SOJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_NL_ARTICLE</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">6</subfield><subfield code="j">1988</subfield><subfield code="c">2</subfield><subfield code="h">75-77</subfield><subfield code="g">3</subfield></datafield></record></collection>
|
| score |
7.401038 |