[Is the inverted position of the kidney graft a cause of disease after transplantation?].
The authors explain their experience in a series of 317 consecutive RTs that resulted in renal inversion during transplantation surgery. The likely vascular complications as well as those of the excretory tract are correlated with the above situation of heterotopic graft. No differences have been noted due to placement with regard to necrosis of the ureter; stenosis of the passage, whether distally or at the pyelo-ureteral junction, have occurred in inverted kidneys but at a really low rate (1.7%) in both cases. There has been, however, a higher incidence of arterial thrombosis when the kidney is not inverted. A conclusion can be drawn that it is preeminent to place the kidney with a good vascular arrangement and that, once this is achieved, the tendency is to leave the posterior pelvis which allows to shorten the ureter.
Ballesteros Sampol
J J
JJ
Servicio de Urología, Hospital Ntra. Sra. de la Esperanza, Barcelona.
Guzmán Fernández
A
A
Cortadellas Angel
R
R
D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods*; D014513:Ureter / Q000601:surgery
Es la posición invertida del injerto renal causa de patología tras el trasplante?