title: Ex vivo pyelotomy, nephroscopy and holmium laser lithotripsy of a staghorn stone in a donor kidney prior to renal transplant.
abstract: This case report presents the diagnostic and treatment procedures of stone removal from the kidney of a 67-year-old donor, the transplantation of the kidney to a 65-year-old recipient, and the postoperative course until the end of hospitalization. Computed tomography performed before collecting the organ showed a staghorn stone in the renal pelvis and lower calyces in the right donor kidney. The stones were removed ex-vivo using a rigid ureteroscope and a holmium laser prior to transplantation. Then the organ was transplanted to the left iliac fossa of a 65-year-old man with end-stage renal failure. The authors think there is a possibility of increasing the kidney pool, by using organs containing large calculi. In such cases stones should be removed before the operation and the patient should be monitored regularly, especially in the first months after the transplant.
authors.affiliation: Department of Surgery, Fourth Military Teaching Hospital, Wroclaw, Poland ; Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Janczak
authors.affiliation: Department of Surgery, Fourth Military Teaching Hospital, Wroclaw, Poland.
authors.forename: Barbara
authors.initials: B
authors.lastname: Bolanowska
authors.affiliation: Department of Surgery, Fourth Military Teaching Hospital, Wroclaw, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Jankowski
authors.affiliation: Department of Surgery, Fourth Military Teaching Hospital, Wroclaw, Poland.
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Dorobisz
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Karolina
authors.initials: K
authors.lastname: Dorobisz
authors.affiliation: Department of Surgery, Fourth Military Teaching Hospital, Wroclaw, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Chabowski
authors.affiliation: Department of Palliative Care Nursing, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Dawid
authors.initials: D
authors.lastname: Janczak
authors.affiliation: Department of Palliative Care Nursing, Wroclaw Medical University, Wroclaw, Poland ; Clinical Department of Urology, 4th Clinical Military Hospital, Wroclaw, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Szydelko
keywords: laser lithotripsy; nephrolithiasis; renal transplant