Ureteral implantation technique and urologic complications in adult kidney transplantion.
OBJECTIVE
To assess the incidence of urological complications and hematuria after adult kidney transplantation using the Lich-Gregoire (LG) versus the Taguchi (T) ureteral implantation technique.


METHODS
We performed a retrospective analysis of 212 consecutive kidney transplants from our institution using an access database.


RESULTS
Sixty four patients underwent ureteral implantation using the T technique, and the other 148, the LG implantation. Both groups were matched for donor/recipient characteristics and for cold/warm ischemia times. There were 23 urological complications in 17 patients. Twenty-seven patients developed complicated hematuria. The rates of urinary leak and ureteral stones were not different. There was a higher incidence of permanent ureteral strictures using the LG technique (P =.05). T technique was associated more frequently with hematuria, but there was no difference in the length of stay.


CONCLUSIONS
We identified an increased incidence of permanent strictures with the LG technique. The rate of hematuria was higher in the T group. Both techniques can be used interchangeably with acceptable rates of urological complications. The simplicity of the T technique has made it the technique of choice in our institution.
Tzimas
G N
GN
Section of Transplantation/Hepatobiliary Surgery, Division of General Surgery, Royal Victoria Hospital, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
Hayati
H
H
Tchervenkov
J I
JI
Metrakos
P P
PP
D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D014513:Ureter / Q000601:surgery*; D014570:Urologic Diseases / Q000453:epidemiology* / Q000209:etiology