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• W2773936945 abstract "Background: In kidney transplantation (Ktx), ureteral stents are routinely used in many transplant centers. However, the impact of stents on complication rates and graft survival and the optimal duration of stenting are still being debated. In this study, 1 - and 5 -year patient and graft survival and complication rates following KTx with an ureteral stent were analyzed. Methods: Data from 1381 patients transplanted between 2000 and 2010 at the Department of Surgery, Innsbruck, were retrospectively analyzed. Complication Rates, shortterm and longterm outcome were investigated and risk factors for patient and graft survival were identified. Results: Out of 1381 patients (mean age: 48,5±14,3 years), 302 (21,9%) patients were transplanted using the Lich-Gregoir (LG) technique, 1059 (76,7%) patients were operated using a Leadbetter-Politano (LP) technique while in 20 (1,4%) patients a nonstandardized ureteral anastomosis was required. 597 (43,2%) patients were operated using a ureteral stent while 784 (66,8%) patients did not receive a stent. Patients without splints had a higher rate of urological complications (stent vs. no stent: 13,1% vs. 8,0%) and a significantly shorter survival to complication time (p=0.004) indicating the benefitial impact of routine stents on early urological complications. In contrast, the technique of ureteral anastomosis (LG vs. LP) did not impact on complication rates. 1 - and 5 - year patient survival was comparable between the groups (stent vs. no stent: 1yr: 95,6% vs. 96,2%, 5yr: 87,6% vs. 87,4%,p=n.s.) while graft survival was inferior in patients without a stent (stent vs. no stent: 1yr: 98,2% vs. 91,1%, 5yr: 84,8% vs. 78,9%,p=0.02). Conclusion: The routine use of ureteral stents is associated with reduced early complication rates, prolonged survival to complication time and an improved graft survival. These benefits may be particularly favorable in patients with an increased surgical risk or recipients of marginal grafts." @default.
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• W2773936945 date "2014-07-01" @default.
• W2773936945 modified "2023-09-27" @default.
• W2773936945 title "Routine Use of Ureteral Stents: Reduced Early Urological Complication Rates and Improved Graft Survival." @default.
• W2773936945 doi "https://doi.org/10.1097/00007890-201407151-02161" @default.
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