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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Complications of ureterovesical anastomosis in adult renal transplantation: Comparison of the Lich-Gregoire and the Taguchi techniques
Annals of Transplantation, Volume 16, No. 3, Year 2011
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Description
Background: Our aim is to identify the incidence of urologic complications in adult renal transplantation comparing two different ureterovesical anastomosis techniques, the Taguchi (T) and Lich-Gregoire (LG). Material/Methods: Retrospective analysis of adult renal transplants performed at the MUHC between 2000-2009. Excluded: multi-organ transplants, re-do transplants, variant ureteric anastomosis and patients received grafts from UNOS ECD. 372 patients were analyzed. 209 patients (56%) in the T group and 163 patients (44%) in the LG group. Fisher's exact test was used to compare the groups for urologic complications. A multivariate analysis was performed to identify factors associated with graft rejection and death. Results: 21 patients developed a urinary leak or stricture. A total of 13 patients (3.4%) developed ureteric strictures and 9 (2.4%) patients developed urinary leak with no difference in urinary leak or stricture between both groups (p=1). Hematuria requiring intervention developed in 55 patients. A higher incidence of complicated hematuria in the T group when compared to the LG group (37 vs. 18, p=0.079)). No differences in other ureteric complications between the 2 groups. Delayed graft function OR=3.4 (95% CI=1.8-6.3) and grafts from a deceased donors OR=2.2 (95% CI=1.1-4.5) are factors associated with graft loss. Factors associated with first episode of rejection include delayed graft function OR=2.4 (95% CI=1.3-4.4), and the development of ureteric stricture OR=3.9 (95% CI=1.8-8.7). Conclusions: Both techniques can be used interchangeably for adult renal transplantation. T technique is associated with a greater risk of hematuria. Ureteric strictures are associated with a shorter time to first graft rejection. © Ann Transplant.
Authors & Co-Authors
Ameer, Ahmad
Canada, Montreal
Université Mcgill
Aljiffry, Murad M.
Canada, Montreal
Université Mcgill
Saudi Arabia, Jeddah
King Abdulaziz University
Jamal, Mohammad H.
Canada, Montreal
Université Mcgill
Hassanain, Mazen M.
Canada, Montreal
Université Mcgill
Saudi Arabia, Riyadh
King Saud University
Doi, Suhail A.
Australia, Brisbane
The University of Queensland
Fernandez, Myriam
Canada, Montreal
Université Mcgill
Metrakos, Peter P.
Canada, Montreal
Université Mcgill
Cantarovich, Marcelo
Canada, Montreal
Université Mcgill
Chaudhury, Prosanto
Canada, Montreal
Université Mcgill
Tchervenkov, J.
Canada, Montreal
Université Mcgill
Statistics
Citations: 15
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.12659/AOT.881999
ISSN:
14259524
Study Design
Randomised Control Trial
Cohort Study