[Results of the kidney autotransplantation].
We report our experience with kidney autotransplantation and evaluate the benefit of this operative method in selected patients. Between 1991 and 2001, 8 patients underwent kidney autotransplantation in our department, 2 involving iatrogenic ureter lesion, 3 - gross hematuria due to kidney vascular abnormalities, 2 - renal arteries stenoses, 1 with long ureteric stenose. In short-term follow-up period 7 patients had normal kidney function (serum creatinine level was 99.5 micromol/l), 1 patient had impaired kidney function (serum creatinine content was 170 micromol/l), serum creatinine level improved in 4 patients and were stable in another 4 patients, 3 patients experienced relief gross hematuria. In long-term follow-up period 5 patients had normal kidney function and no experienced hematuria episodes. We concluded that kidney autotransplantation is feasible and effective method for the surgical treatment with good results for selected patients with ureteric lesions, renovascular disorders, it also appears to be effective treatment for patients with gross hematuria. Kidney autotransplantation allows to recover or stabilise impaired kidney function due to renovascular or ureteric disorders and to avoid nephrectomy due to gross hematuria, due to vascular abnormalities.
Raksnys
Darius
D
Clinic of Nefrourology, Vilnius University, Lithuania.
Dzedziulis
Valerijus
V
Dainys
Balys
B
D003404:Creatinine / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D013997:Time Factors; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014567:Urography
D003404:Creatinine