30,598 results match your criteria Kidney Transplantation Surgical Complications


Incidence, risk factors, and outcome of BK polyomavirus infection after kidney transplantation.

World J Clin Cases 2019 Feb;7(3):270-290

Renal Transplantation, Barts Health NHS Trust, Royal London Hospital, London E1 1BB, United Kingdom.

Background: Polyomavirus-associated nephropathy is a leading cause of kidney allograft failure. Therapeutic options are limited and prompt reduction of the net state of immunosuppression represents the mainstay of treatment. More recent application of aggressive screening and management protocols for BK-virus infection after renal transplantation has shown encouraging results. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i3.270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369392PMC
February 2019

"Inverted" positioning of renal allograft during kidney transplantation in children and adolescents: A single-institution comparative analysis.

Pediatr Transplant 2019 Feb 7:e13365. Epub 2019 Feb 7.

Department of Urology, Hospital for Sick Children, Toronto, Ontario, Canada.

Renal transplantation is the treatment of choice in children with end-stage renal failure. Limitations in patient anatomy or a short donor renal vein may necessitate intraoperative inversion of the kidney. There is little evidence to support the use of this surgical technique, and no evidence in the pediatric population. Read More

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http://dx.doi.org/10.1111/petr.13365DOI Listing
February 2019

Comparison of nighttime and daytime operation on outcomes of kidney transplant with deceased donors: a retrospective analysis.

Chin Med J (Engl) 2019 Feb;132(4):395-404

Department of Renal Transplant, Center of Nephropathy, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China.

Background: Kidney transplant is always emergent operations and frequently need to be performed at nighttime to reduce cold ischemia time (CIT). Previous studies have revealed that fatigue and sleep deprivation can result in adverse consequences of medical procedures. This study aimed to evaluate whether nighttime operation has adverse impact on kidney transplant. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000056DOI Listing
February 2019
1 Read

Nephrological aspects of surgical weight correction in morbid obesity.

Ter Arkh 2018 Jun;90(6):98-104

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), Moscow, Russia.

Obesity, including morbid obesity, is a growing worldwide problem. The adverse effect of obesity on the kidneys is associated with the development of comorbid conditions, such as insulin resistance (IR), metabolic syndrome (MS), diabetes mellitus (DM), arterial hypertension (AH), which are the recognized risk factors of chronic kidney disease (СKD). Obesity also causes direct kidney damage with the development of non-immune focal segmental glomerulosclerosis. Read More

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http://ter-arkhiv.ru/en/archive/2018/vol-90-6-2018/15_2731/?
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http://dx.doi.org/10.26442/terarkh201890698-104DOI Listing
June 2018
8 Reads

Ureteric implantation into the bowel portion of augmented bladders during kidney transplantation: a review of urological complications and outcomes.

ANZ J Surg 2019 Jan 26. Epub 2019 Jan 26.

Department of Urology, National University Hospital, Singapore.

Background: In patients with bladder augmentation undergoing kidney transplantation, conventional technique recommends anastomosing the transplanted ureter to the bladder. We report our technique of ureteric implantation into the bowel portion of the enterocystoplasty, and review the urological outcomes of transplantation in these patients.

Methods: Seven patients (mean age: 26 years (range 24-54 years), two females, five deceased donors) with augmented cystoplasty and subsequent kidney transplantation by a single surgeon from 2011 to 2015 were reviewed. Read More

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http://dx.doi.org/10.1111/ans.14828DOI Listing
January 2019
2 Reads

[LONG-TERM OUTCOME OF PEDIATRIC KIDNEY TRANSPLANTATION: A SINGLE-CENTER EXPERIENCES].

Nihon Hinyokika Gakkai Zasshi 2018 ;109(1):14-19

Department of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences, Niigata University.

(Background) Long-term care is necessary for normal growth and development of pediatric recipients of kidney transplants. We report on our experience with pediatric kidney transplantation (KTx) during the past 19 years. (Methods) We retrospectively analyzed the data from 26 recipients who received KTx between 1996 and 2014 at Niigata University Hospital (one patient underwent two consecutive KTx during the designated period). Read More

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https://www.jstage.jst.go.jp/article/jpnjurol/109/1/109_14/_
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http://dx.doi.org/10.5980/jpnjurol.109.14DOI Listing
February 2019
3 Reads

Surgical Technique Notes of Arterial Vascular Reconstruction During Kidney Transplantation: Personal Experience and Literature Review.

Transplant Proc 2019 Jan - Feb;51(1):128-131. Epub 2018 Jun 28.

General Surgery and Organ Transplantation Unit, Department of Surgery, Sapienza University of Rome, Rome, Italy.

Background: Arterial vascular anomalies in patients undergoing kidney transplantation (KT) are correlated with a higher incidence of early surgical complications, potentially causing graft loss. Arterial reconstruction allows patients to overcome these surgical challenges, thus minimizing the risk of poor outcomes. The aim of the present study is to retrospectively investigate the safety and effectiveness of the multiple arterial reconstruction technique with a Teflon patch in case of an unavailable aortic patch: to do so, surgical complications, graft function, and patient survival were evaluated. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.04.072DOI Listing
June 2018
2 Reads

Impact of 3 Major Maintenance Immunosuppressive Protocols on Long-term Clinical Outcomes: Result of a Large Multicenter Italian Cohort Study Including 5635 Renal Transplant Recipients.

Transplant Proc 2019 Jan - Feb;51(1):136-139. Epub 2018 Jun 28.

Renal Unit, Department of Medicine, University Hospital of Verona, Italy. Electronic address:

Background: Although optimization of immunosuppressive schemes in renal transplantation have minimized acute posttransplant complications, long-term outcomes are still not optimal and most of the chronic graft damage is drug-related. Therefore, to define the best long-term maintenance immunosuppressive regimen is of major importance in renal transplantation. To assess this objective, we undertook a large, multicenter cohort study in Italy. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.02.209DOI Listing
June 2018
2 Reads

Ethical Issues in the Use of Suboptimal Kidneys for Transplants: An Italian Point of View.

Transplant Proc 2019 Jan - Feb;51(1):106-110. Epub 2018 Jun 30.

Operative Unit of General Surgery and Kidney Transplantation, Advanced Biomedical Science Department, University Federico II of Naples, Naples, Italy.

The shortage of organs leads to the need for utilizing suboptimal kidneys for transplantation. The distinction between optimal, marginal, and suboptimal kidneys leads surgeons to face not only technical problems but also ethical and legal issues related to clinical advantages offered by the transplant of a nonstandard kidney and the acquisition of consent. Between 1999 and 2015, we performed 658 transplants, 49 (7. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183085
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http://dx.doi.org/10.1016/j.transproceed.2018.05.031DOI Listing
June 2018
3 Reads

Perioperative Goal-Directed Therapy during Kidney Transplantation: An Impact Evaluation on the Major Postoperative Complications.

J Clin Med 2019 Jan 11;8(1). Epub 2019 Jan 11.

Department of Anaesthesia and Intensive Care, University Hospital "G.Rodolico", University of Catania, via Santa Sofia 78, 95123 Catania, Italy.

Background: Kidney transplantation is considered the first-choice therapy in end-stage renal disease (ESRD) patients. Despite recent improvements in terms of outcomes and graft survival in recipients, postoperative complications still concern the health-care providers involved in the management of those patients. Particularly challenging are cardiovascular complications. Read More

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http://dx.doi.org/10.3390/jcm8010080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351933PMC
January 2019
2 Reads

Kidney Transplantation in Children with Thrombosed Inferior Caval Vein - Atypical Vascular Anastomoses.

Ann Transplant 2019 Jan 11;24:25-29. Epub 2019 Jan 11.

Department of Nephrology, Kidney Transplantation and Arterial Hypertension, Children's Memorial Health Institute, Warsaw, Poland.

BACKGROUND Diffuse thrombosis of iliac veins and IVC has been considered a significant technical obstacle in pediatric kidney transplantation (KT). MATERIAL AND METHODS Between 1984 and 2018, 951 KTs were performed in our institution. In 4 children qualified for KT, diffuse thrombosis of iliac veins or IVC was found. Read More

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https://www.annalsoftransplantation.com/abstract/index/idArt
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http://dx.doi.org/10.12659/AOT.912657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338005PMC
January 2019
3 Reads

Risk factors for new-onset diabetes mellitus after kidney transplantation (NODAT): a Brazilian single center study.

Arch Endocrinol Metab 2018 ;62(6):597-601

Universidade Evangélica, Departamento de Medicina, Curitiba, PR, Brasil.

Objectives: This study aims to verify the new-onset diabetes after kidney transplant (NODAT) incidence in recipients within 1 year after kidney transplantation from a single center in Southern Brazil and to assess the associated conditions.

Subjects And Methods: A retrospective study of 258 post-renal transplant patients was performed. Demographic (gender, age, ethnic background) and clinical (origin of graft, associated infections, body mass index (BMI) at transplant time and 6 and 12 months after, causes of renal failure, and comorbidities) data were analyzed. Read More

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http://dx.doi.org/10.20945/2359-3997000000084DOI Listing
February 2019

Ischemia reperfusion injury in kidney transplantation: A case report.

Medicine (Baltimore) 2018 Dec;97(52):e13650

Department of Nephrology, Dialysis and Transplantation, Clermont Ferrand, University Hospital, Clermont Ferrand, France.

Rationale: Kidney transplantation is considered the best treatment for patients with end stage renal disease. Ischemia- reperfusion injury (IRI) is an evitable event after deceased donor transplantation and influences short term and long term graft outcome. Few data on IRI's histology in the setting of kidney transplantation are available in the literature despite its frequency and its severity. Read More

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http://dx.doi.org/10.1097/MD.0000000000013650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314654PMC
December 2018
1 Read

Early hospital readmission after kidney transplantation under a public health care system.

Clin Transplant 2018 Dec 23:e13467. Epub 2018 Dec 23.

Nephrology Division, Hospital do Rim, Federal University of São Paulo, São Paulo, Brazil.

Early hospital readmission (EHR) is associated with increased mortality after kidney transplantation. This is influenced by population demographics and the comprehensiveness of the healthcare system. We investigated the incidence and risk factors associated with EHR and 1-year patient and graft survivals. Read More

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http://doi.wiley.com/10.1111/ctr.13467
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http://dx.doi.org/10.1111/ctr.13467DOI Listing
December 2018
9 Reads

Platelets function assessment in patients qualified for cardiac surgery - clinical problems and a newer diagnostic possibilities.

J Cardiothorac Surg 2018 Dec 22;13(1):131. Epub 2018 Dec 22.

Department of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland.

Background: As the incidence of cardiovascular diseases increases, the use of antiplatelet therapy is widely recognized. This presents clinicians with the challenge of balancing the risk of thrombotic and bleeding complications. Platelet dysfunction is one of the causes of postoperative bleedings and their etiology is not fully understood. Read More

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http://dx.doi.org/10.1186/s13019-018-0820-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303902PMC
December 2018
3 Reads

A Case Report of Immunosuppressant Medication‒Associated Polyarticular Tophaceous Gout Successfully Treated Using the Polyethylene Glycol‒Conjugated Uricase Enzyme Pegloticase.

Authors:
B Freyne

Transplant Proc 2018 Dec 9;50(10):4099-4101. Epub 2018 Mar 9.

Private practice, Murrieta, California. Electronic address:

This case describes a female patient with polyarticular tophaceous gout who was given transplant immunosuppressant medications. The 36-year-old was treated for Wilms tumor at 3 years of age by operative removal of 1 kidney, chemotherapy, and radiotherapy. At age 19, the patient was diagnosed with cardiomyopathy attributed to prior chemotherapy and radiotherapy. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.03.010DOI Listing
December 2018
1 Read

Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Failure in a Liver Transplant Patient: A Case Report.

Transplant Proc 2018 Dec 7;50(10):4038-4041. Epub 2018 Jul 7.

Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.

Intraoperative extracorporeal membrane oxygenation (ECMO) support, both venoarterial and venovenous (VV), have been used sparingly and with limited success in the setting of liver transplantation. Here, we report the successful use of VV-ECMO in the resuscitation and pulmonary bridging support after severe systemic inflammatory response in a combined liver and kidney transplant recipient who suffered primary nonfunction of both allografts. Where conventional ventilator maneuvers may prove ineffective, the implementation of VV-ECMO should be considered as a therapeutic option in limited, short-lived acute pulmonary injury. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.07.013DOI Listing
December 2018

Indigo Thrombectomy System for Hepatic Artery Thrombosis After Liver Transplantation: A Case Report.

Transplant Proc 2018 Dec 9;50(10):4000-4003. Epub 2018 Aug 9.

Interventional Radiology, Academic Hospital, ASUIUD, Udine, Italy.

Introduction: Hepatic artery thrombosis still represents a major complication after liver transplantation responsible for graft failure, possibly resulting in the need for retransplantation.

Case Report: We describe a case of a patient undergoing liver transplant complicated by hepatic artery thrombosis, successfully treated with an endovascular approach using the Indigo System. This new system allows mechanical fragmentation and aspiration of the thrombus, with no injection of any thrombolytic agents, thereby reducing the risk of bleeding. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.07.036DOI Listing
December 2018

Robot-Assisted Radical Prostatectomy in a Post-Kidney Transplant Patient: An Initial Case Report in China.

Transplant Proc 2018 Dec 10;50(10):3978-3983. Epub 2018 Sep 10.

Department of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address:

Objective: Our aim was to evaluate the general applicability, feasibility, and safety of robot-assisted radical prostatectomy (RARP) in Chinese renal allograft patients for prostate cancer removal.

Patients And Methods: A 62-year-old patient diagnosed as having biopsy-proven localized prostate cancer in March 2016 who had undergone renal transplant 12 years ago was studied. The preoperative prostate-specific antigen value was determined to be 11. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.09.015DOI Listing
December 2018

Gastric Stump Cancer Following Gastrectomy After Renal Transplantation: A Case Report.

Transplant Proc 2018 Dec 29;50(10):3973-3977. Epub 2018 May 29.

Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

A patient who had previously undergone a gastrectomy due to gastric ulcer perforation was admitted to our hospital. He presented with epigastric pain and poor oral intake accompanied with gastrointestinal bleeding, and was diagnosed with gastric stump cancer. He had a history of renal transplantation and was administered immunosuppressive agents. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183072
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http://dx.doi.org/10.1016/j.transproceed.2018.05.016DOI Listing
December 2018
8 Reads

Thoracoscopic Esophagectomy for a Patient With Perforated Esophageal Epiphrenic Diverticulum After Kidney Transplantation: A Case Report.

Transplant Proc 2018 Dec 8;50(10):3964-3967. Epub 2018 Sep 8.

Department of Surgery, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai Miyagi, Japan.

A 58-year-old man who underwent cadaveric kidney transplantation twice presented to hospital with a perforated epiphrenic diverticulum. Computed tomography revealed epiphrenic diverticulitis and right pleural effusion. Upper gastrointestinal fibroscopy showed an epiphrenic diverticulum full of food residue. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.042DOI Listing
December 2018
2 Reads

Page Kidney Following a Nonepisode Protocol Renal Allograft Biopsy: A Case Report.

Transplant Proc 2018 Dec 9;50(10):3961-3963. Epub 2018 Aug 9.

Department of Urology, St Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Page kidney refers to a clinical condition that is characterized by the acute onset of hypertension and renal dysfunction owing to external compression of the kidney by a hematoma, tumor, lymphocele, or urinoma. We report a case in which Page kidney occurred after a nonepisode protocol renal allograft biopsy. A 31-year-old man with end-stage renal disease received a living related kidney transplant from his father. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.008DOI Listing
December 2018
1 Read

First Report of Recurrent Nephrotic Syndrome After Kidney Transplantation in a Patient With NUP93 Gene Mutations: A Case Report.

Authors:
T Seeman K Vondrak

Transplant Proc 2018 Dec 7;50(10):3954-3956. Epub 2018 Jul 7.

Department of Pediatrics, University Hospital Motol, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic.

Mutations in nucleoporin 93 (NUP93) gene have been shown recently to be one of the very rare causes of genetic steroid-resistant nephrotic syndrome (SRNS). Until now, none of the 7 published cases with NUP93-SRNS, experienced recurrence of nephrotic syndrome (NS) after transplantation. Here, we present the first case of recurrent NS in a patient with NUP93-SRNS ever reported. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183093
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http://dx.doi.org/10.1016/j.transproceed.2018.07.010DOI Listing
December 2018
9 Reads

Isolated Neurogenic Bladder Associated With Human T-Lymphotropic Virus Type 1 Infection in a Renal Transplant Patient From Central Australia: A Case Report.

Transplant Proc 2018 Dec 7;50(10):3940-3942. Epub 2018 Sep 7.

Central Australian Renal Services, Alice Springs Hospital, Northern Territory, Australia.

Background: Human T-lymphotropic virus type 1 (HTLV-1) is endemic amongst the Aborigines of the Northern Territory of Australia. HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP) has been associated with this infection. In general population, isolated neurogenic bladder dysfunction in HTLV-1-infected individuals without HAM/TSP has been reported, and the HTLV-1 proviral load has been found to be higher in such patients compared with asymptomatic carriers. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.031DOI Listing
December 2018
1 Read

Genitourinary Tract Infection Due to Mycobacterium avium intracellulare Complex Infection in Pretransplant Setting With Recurrence Following Transplant: A Case Report.

Transplant Proc 2018 Dec 8;50(10):3937-3939. Epub 2018 Sep 8.

Program in Adult Transplant Infectious Disease, Division of Infectious Disease and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.

Genitourinary (GU) tract infection with Mycobacterium avium intracellulare complex (MAI) is very rare and, to our knowledge, has never been reported in the solid organ transplant literature. CASE DESCRIPTION: A 61-year-old Somali-born woman had a history of liver cirrhosis due to chronic hepatitis C infection. She was diagnosed as having and treated for latent tuberculosis infection and GU tract infection due to MAI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183116
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http://dx.doi.org/10.1016/j.transproceed.2018.09.007DOI Listing
December 2018
12 Reads

Azathioprine-induced Agranulocytosis and Severe Alopecia After Kidney Transplantation Associated With a NUDT15 Polymorphism: A Case Report.

Transplant Proc 2018 Dec 18;50(10):3925-3927. Epub 2018 Apr 18.

Division of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan. Electronic address:

Background: Azathioprine (AZA) is the drug recommended for the continuation of immunosuppressive treatment after renal transplant in women during pregnancy.

Case Report: A 37-year-old Japanese female developed agranulocytosis and severe alopecia after initiation of AZA (50 mg), used as an alternative to mycophenolate mofetil (MMF, 1000 mg) therapy in anticipation of a planned pregnancy. Within 4 days of the initiation of AZA therapy, the patient developed a high fever, leucopenia, and cranial alopecia. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.04.039DOI Listing
December 2018
1 Read

Successful Pediatric Kidney Transplantation Into an Adult Recipient: A Case Report.

Transplant Proc 2018 Dec 22;50(10):3920-3922. Epub 2018 Jun 22.

Department of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.

Background: The constant shortage of kidney donors prompts exploration into new strategies of transplantation. One of these strategies is the use of pediatric donors aged up to 5 years whose kidneys can be transplanted into adult recipients, mainly en bloc. This involves retrieving kidneys en bloc with aorta and inferior vena cava and anastomosing them to the recipient's external iliac vessels. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.018DOI Listing
December 2018
1 Read

Preneoplastic Lesion in a Pancreas Allograft: Dilemma for the Pancreas Transplant Surgeon.

Transplant Proc 2018 Dec 30;50(10):3694-3697. Epub 2018 Jun 30.

Division of Transplantation, Department of Surgery, University of Minnesota Medical School, Minneapolis, MN.

Although the relationship between immunosuppression and cancer risk is well-documented, the association between immunosuppression and the development of preneoplastic lesions (PNL) is less clear. PNLs pose a unique clinical conundrum in the transplanted pancreas because their prevalence in the general population is not infrequent. We present the case of a 58-year-old man with a history of diabetes mellitus type 1 who underwent successful pancreas transplantation with bladder drainage. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.047DOI Listing
December 2018
1 Read

Therapeutic Plasma Exchange in Pediatric Renal Transplantation Experience of One Decade and 389 Sessions.

Transplant Proc 2018 Dec 10;50(10):3483-3486. Epub 2018 Jul 10.

The Children's Memorial Health Institute, Warsaw, Poland. Electronic address:

Objective: There are no specific recommendations for therapeutic plasma exchange (TPE) in children after renal transplantation. The purpose of this study was to report the experience with TPE in a pediatric transplant setting.

Materials And Methods: 59 patients (mean age 12. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183094
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http://dx.doi.org/10.1016/j.transproceed.2018.07.015DOI Listing
December 2018
8 Reads

Evaluation of Cases of Graft Nephrectomy After Graft Loss in Patients With Renal Transplantation.

Transplant Proc 2018 Dec 9;50(10):3445-3448. Epub 2018 Aug 9.

Department of Nephrology, Ege University Faculty of Medicine, Izmir, Turkey.

Introduction: Renal transplantation is undoubtedly considered the best renal replacement therapy. Graft nephrectomy can be performed in patients with renal transplantation because of complications associated with the failed graft. We aimed to retrospectively investigate the characteristics of patients who underwent graft nephrectomy. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.07.030DOI Listing
December 2018

Colloid Osmotic Pressure Participates on the Post-transplant Lymphocele Pathogenesis.

Transplant Proc 2018 Dec 30;50(10):3422-3425. Epub 2018 Jun 30.

Department of Urology, University Hospital, Hradec Kralove, Czech Republic; Faculty of Medicine in Hradec Kralove, Department of Surgery, Charles University, Hradec Kralove, Czech Republic.

The aim of the study was to evaluate the role of colloid osmotic pressure in post-transplant lymphocele pathogenesis. We have analyzed total plasmatic protein and albumin levels, and electrophoresis has been completed in blood samples before transplantation and in days 3 and 14 after transplantation in 50 patients with lymphocele (Lymphocele) and 198 patients without lymphocele (control), respectively. Colloid osmotic pressure (COP) was calculated according to the Hoefs formula. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.043DOI Listing
December 2018

Externalized Percutaneous Stent Versus Internal Double J Stent: Short- and Long-term Complications After Kidney Transplantation.

Transplant Proc 2018 Dec 18;50(10):3416-3421. Epub 2018 Apr 18.

Department of Visceral Surgery and Medicine, University Hospital, Bern, Switzerland. Electronic address:

Background: In patients undergoing kidney transplantation, ureteral stents are an established technique to reduce major urologic complications such as leakage and stenosis of the ureter. However, the best technique for ureteral stenting remains unclear. The aim of this study was to compare the outcome of percutaneous ureteral stents (PS) with internal double J stents (JJS) after kidney transplantation. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.04.042DOI Listing
December 2018
1 Read

Meta-analysis of Early Versus Late Ureteric Stent Removal After Kidney Transplantation.

Transplant Proc 2018 Dec 7;50(10):3411-3415. Epub 2018 Sep 7.

Department of Urology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China; and Institute of Urology, Capital Medical University, Beijing, China.

Background: Ureteral stents have been widely used in kidney transplantation to prevent postoperative ureter-related complications such as ureteral stricture, ureteral obstruction, and ureteral leakage; however, a longer indwelling ureteral stent time corresponds to a greater risk of complications such as urinary tract infections. Currently, transplantation centers have not yet reached an agreement on the time to remove ureteral stents. Several randomized controlled trials (RCTs) have evaluated the optimal removal time for ureteral stents. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183103
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http://dx.doi.org/10.1016/j.transproceed.2018.08.033DOI Listing
December 2018
15 Reads

Minimally Invasive Approach to Ureteral Stricture in Transplant Kidney by Periodic Retrograde Ureteral Stent Placement and Exchange.

Transplant Proc 2018 Dec 30;50(10):3405-3410. Epub 2018 Jun 30.

Department of Urology, Istinye University School of Medicine, Istanbul, Turkey.

Purpose: The aim of the study was to evaluate the effectiveness of minimally invasive treatment of ureteral strictures and describe the technique that we used for retrograde placement of ureteral stent in transplant kidneys.

Material And Methods: We reviewed the medical cards of all transplant kidney patients with persistent ureteral strictures who were managed with periodical ureteral stent placement and balloon dilatation between 2008 and 2016. Different maneuvers that were used to overcome the difficulties for retrograde ureteral stent placement and exchange were discussed. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.029DOI Listing
December 2018

Routine Stenting of Extravesical Ureteroneocystostomy in Kidney Transplantation: A Systematic Review and Meta-analysis.

Transplant Proc 2018 Dec 30;50(10):3397-3404. Epub 2018 Jun 30.

William J. von Liebig Center for Transplantation, Mayo Clinic, Rochester, MN. Electronic address:

Background: Although rare, major urologic complications (MUC) in kidney transplantation can cause significant morbidity, increased cost, and may even lead to graft loss. Ureteric stents are routinely used to prevent MUC, although complications related to their use have been reported. Here, we systematically reviewed the role of routine stenting in preventing MUC in kidney transplantation with extravesical ureteric implantation and performed a meta-analysis of 6 randomized controlled trials. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.041DOI Listing
December 2018
1 Read

Being Overweight Is Related to Faster Decline in Annual Glomerular Filtration Rate in Kidney Transplant.

Transplant Proc 2018 Dec 18;50(10):3392-3396. Epub 2018 Apr 18.

Centro de Nefrología, Hospital de Clínicas, Facultad de Medicina, UdeLaR, Montevideo, Uruguay.

Few studies have examined the relationship between non-immunological factors and glomerular filtration rate (GFR) decline in kidney transplant. Correcting these factors in native kidneys slows the progression of chronic kidney disease. The aim of this study was to analyze the association between the control of non-immunological factors and the annual decline of GFR. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.04.040DOI Listing
December 2018
2 Reads

Clinical and Health Care Utilization Outcomes of Kidney Transplantation in HIV-Positive Recipients: A Nationwide Analysis From 2008-2013.

Transplant Proc 2018 Dec 10;50(10):3361-3366. Epub 2018 Aug 10.

Department of Medicine, Mount Sinai St Luke Roosevelt, New York, New York.

Background: Kidney transplantation (KTxp) provides dialysis independence, improved quality of life, and prolonged life expectancy for patients with end-stage renal disease. Before and during the early antiretroviral therapy era, KTxp was not a consideration for patients with end-stage renal disease who were HIV-positive (HIV+ve) given their short life expectancy and prevailing organ procurement constraints. Recent advancements in antiretroviral therapy and HIV care have overhauled this paradigm and KTxp has now been performed for several years, however, pragmatic studies documenting outcomes are lacking. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.002DOI Listing
December 2018

Conversion From Mycophenolates to Mizoribine Is Associated With Lower BK Virus Load in Kidney Transplant Recipients: A Prospective Study.

Transplant Proc 2018 Dec;50(10):3356-3360

Organ Transplant Center, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. Electronic address:

Background: BK virus allograft nephropathy (BKVAN) is a graft-threatening complication after kidney transplantation. Current consensus regarding the prevention of BKVAN is to screen for BK viremia and to treat sustained BK viremia through reducing immunosuppression. This study assessed the effect of conversion from mycophenolates to mizoribine (MZR) on the prevention of BK viremia in kidney transplant recipients. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.01.059DOI Listing
December 2018
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Impact of Urinary Tract Infections in Kidney Transplant Recipients: A 4-Year Single-Center Experience.

Transplant Proc 2018 Dec 7;50(10):3351-3355. Epub 2018 Sep 7.

UCL Centre for Nephrology, Royal Free London NHS Foundation Trust, London, United Kingdom; Nephrology Unit, Internal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Electronic address:

Background: Urinary tract infection (UTI) is the most frequent bacterial infection in kidney transplant recipients (KTRs), yet little is known about the impact of severe UTIs. We aimed to explore the burden of severe UTIs post renal transplant on both graft function and health care resources.

Methods: We conducted a retrospective review of KTRs with severe UTI warranting hospital admission at our center between January 1, 2012, and December 31, 2015. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183076
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http://dx.doi.org/10.1016/j.transproceed.2018.08.022DOI Listing
December 2018
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Comparison of Sirolimus Combined With Tacrolimus and Mycophenolate Mofetil Combined With Tacrolimus in Kidney Transplantation Recipients: A Meta-Analysis.

Authors:
L Gao F Xu H Cheng J Liu

Transplant Proc 2018 Dec 6;50(10):3306-3313. Epub 2018 Sep 6.

People's Hospital of Hangzhou Medical College, Hangzhou, China. Electronic address:

Purpose: The study was designed to compare the outcomes of sirolimus (SRL) combined with tacrolimus (TAC) and mycophenolate mofetil (MMF) combined with TAC in kidney transplantation recipients.

Methods: A literature search of PubMed, Embase, and Web of Science was performed to identify relevant studies, and the last update was on February 1, 2018. All studies with appropriate data comparing the SRL group with the MMF group were included. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.056DOI Listing
December 2018

Effectiveness of Preceding Solo Kidney Transplantation for Type 1 Diabetes With End-Stage Renal Failure.

Transplant Proc 2018 Dec 22;50(10):3249-3254. Epub 2018 Jun 22.

Registry of Japanese Pancreas Transplantation, Japan Society for Pancreas & Islet Transplantation, Osaka, Japan. Electronic address:

Preceding solo kidney transplantation for type 1 diabetes with end-stage renal failure is controversial because of less pancreatic graft survival in pancreas transplantation after kidney transplantation (PAK) than in simultaneous pancreas and kidney transplantation (SPK).

Methods: To study the effectiveness of preceding solo kidney transplantation for type 1 diabetes with end-stage renal failure, comparative retrospective analysis was performed between SPK (n = 232) and PAK (n = 39) that were performed until December 2016.

Results: At 1, 3, and 5 years, pancreatic graft survival in SPK was 87. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.014DOI Listing
December 2018

Short- and Long-Term Outcomes of Live Donor Renal Allografts From Older and Younger Donors.

Transplant Proc 2018 Dec 6;50(10):3228-3231. Epub 2018 Sep 6.

Department of Transplant Surgery, University Hospital Kyoto Prefectural University of Medicine, Kyoto, Japan.

Background: The rising demand for living renal donors has led to the recruitment of older donors. Findings vary, but these grafts appear to survive as long as grafts from standard criteria deceased and expanded criteria deceased donors. We investigated the effects of donor age ≥65 years and the presence or absence of donor antihypertensive therapy on patient condition 1 year after transplantation, and retrospectively examined 1-year (273 patients), 3-year (217 patients), and 5-year (140 patients) patient and graft survival. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183118
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http://dx.doi.org/10.1016/j.transproceed.2018.08.046DOI Listing
December 2018
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Expanding the Envelope: Favorable Outcomes Utilizing Kidneys From Small Pediatric Donors (≤ 15 kg).

Transplant Proc 2018 Dec 18;50(10):3204-3210. Epub 2018 Apr 18.

Division of Transplantation and Advanced Hepatobiliary Surgery, University of Utah, Salt Lake City, UT.

Background: Utilization of kidneys from small pediatric donors (SPDs ≤ 15 kg) is limited. Decisions to split and use the kidneys for 2 recipients remain controversial.

Methods: Retrospective single-center study aimed primarily at evaluating graft loss within 30 days after transplant using SPD kidneys. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.04.037DOI Listing
December 2018

Open Management of the Renal Vein Is a Safe Modification in Right-Sided Laparoscopic Living Donor Nephrectomy to Maximize Graft Vein Length.

Transplant Proc 2018 Dec 27;50(10):3199-3203. Epub 2018 Jun 27.

Department of Visceral, Transplant, and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria.

Background: The primary objective in living donor kidney transplantation is donor safety. In laparoscopic living donor nephrectomy, most centers prefer the left kidney for donation given the shorter renal vein, higher rate of thromboses, and more difficult surgical procedure for right kidney retrieval. The goal of this study was to demonstrate the feasibility of a hybrid technique using a Satinsky clamp in right-sided living donor nephrectomy to obtain maximal renal vein and to compare the outcome with standard left-sided laparoscopic donor nephrectomies. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.005DOI Listing
December 2018

Use of Intraoperative Duplex Ultrasound and Resistance Index Reduces Complications in Living Renal Donor Transplantation.

Transplant Proc 2018 Dec 7;50(10):3192-3198. Epub 2018 Sep 7.

Department of Vascular Surgery, University Hospital (CHUV), Lausanne, Switzerland.

Background: The treatment of choice in end-stage renal disease is transplantation. Hemodynamic disturbances can evoke graft loss, while early ultrasound identification of vascular problems improves outcome. The aim of this study was to identify differences in postoperative complications with and without systematic intraoperative Doppler ultrasound use. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.029DOI Listing
December 2018

Initial Experience With Hand-Assisted Laparoscopic Living Donor Nephrectomy: Training and Clinical Practice as a General Surgeon.

Transplant Proc 2018 Dec 6;50(10):3113-3120. Epub 2018 Sep 6.

Department of Nephrology, Pusan National University Hospital, Biomedical Research Institute, Pusan National University Hospital 179, Gudeok-Ro, Seo-Gu, Busan, Korea.

Background: To analyze our initial results of hand-assisted laparoscopic living donor nephrectomy, executed by a skilled gastrointestinal surgeon.

Methods: A total of 22 consecutive patients underwent the hand-assisted laparoscopic living donor nephrectomy between December 2014 and January 2017. We retrospectively analyze the patient's perioperative clinical data, which were collected prospectively. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.052DOI Listing
December 2018
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[The long-term infective complications in patients after kidney transplantation and photopheresis].

Urologiia 2018 Dec(5):28-34

The surgical department of transplantation and dialysis of GBUZ Moscow district Moscow Regional Research Clinical Institute named after M.F. Vladimirsky, Moscow, Russia.

Aim: to evaluate the influence of prophylactic use of photopheresis on the risk of long-term infective complications after kidney transplantation.

Materials And Methods: The open cohort randomized study was conducted. A total of 60 recipients after cadaveric kidney allotransplantation from 30 donors were assessed. Read More

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December 2018

[Treatment of postoperative ventral hernias in recipients of solitary organs].

Khirurgiia (Mosk) 2018 (12):65-72

Sklifosovsky Research Institute for Emergency Care of Moscow Healthcare Department, Moscow, Russia; Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Aim: To perform retrospective analysis of treatment of postoperative ventral hernias (PVH) in kidney and extrarenal organs recipients, to assess its safety and effectiveness.

Material And Methods: Hernia repair has been performed in 84 PVH patients for the period from May 2006 to November 2017. The main group consisted of 41 patients (24 males, 17 females, mean age 55 (44; 59)) years with PVH due to previous transplantation. Read More

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http://dx.doi.org/10.17116/hirurgia201812165DOI Listing
January 2018
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Complete remission of both immunoglobulin light chain amyloidosis and psoriasis after autologous hematopoietic stem cell transplantation: A case report.

Medicine (Baltimore) 2018 Dec;97(50):e13589

National Clinical Research Center of Kidney Diseases, Jinling Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu, China.

Rationale: Immunoglobulin light chain amyloidosis (AL amyloidosis) is characterized by the deposition of abnormal amyloid protein produced by a pathological plasma cell clone in various organs and soft tissues. Hematopoietic stem cell transplantation (HSCT) is an effective way to treat AL amyloidosis. Psoriasis is a common autoimmune disease (AID) and HSCT is a potential treatment for severe AIDs. Read More

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http://dx.doi.org/10.1097/MD.0000000000013589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320088PMC
December 2018
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Kidney embolization induces prompt organ response in a 86-year-old patient with MGRS-related AL-amyloidosis.

Hemodial Int 2018 Dec 13. Epub 2018 Dec 13.

Department of Hematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Despite substantial improvements following the introduction of novel agents and antibodies, amyloid light-chain (AL)-amyloidosis still carries a grim prognosis. Here, we report on the case of a severely frail 86-year-old patient suffering from monoclonal gammopathy of renal significance (MGRS)-associated AL-amyloidosis with a diuretic-refractory nephrotic syndrome. In this patient, treatment with bortezomib-dexamethasone effectively induced a serological response, but was unfortunately poorly tolerated and failed to promote renal recovery fast enough to prevent secondary complications. Read More

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http://dx.doi.org/10.1111/hdi.12707DOI Listing
December 2018
1 Read