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- W3032663059 abstract "ObjectiveTo summarize the experience of kidney transplantation from donors with nephrolith who received ex vivo ureteroscopic treatment before transplantation.MethodThe transplantation data and follow-up data from 3 donors with nephrolith and recipients during 2012 to 2015 years in our center were retrospectively analyzed. All 3 donors were DCD donors, renal function was perfect in preoperative assessment and the serum creatinine levels separately were 47, 49 and 110 μmol/L before organ procurement. Three kidneys with stones were harvested and all of them had multiple calculi (a right kidney was discarded for staghorn calculi in inferior pole with hydrops), the sizes of stone were 20 mm×10 mm, 8 mm×4 mm and 8 mm×6 mm respectively. All kidney stones were given ex vivo ureteroscopic treatment before kidney transplantation.ResultThe proceeding of fragment was smooth and the lithotomy time of the 3 kidneys was 45, 30 and 25 min respectively. Three recipients completed kidney transplantation successfully with immediate graft function post-transplantation. There were absented complications just as DGF, AR, ureteral necrosis and urine leakage and so on. The follow-up time of 3 recipients was 3 to 36 months, the renal function remained stable and regular ultrasound examinations were executed posttransplantation. Two stones in male recipient were detected in the inferior pole of renal allograft via ultrasound examination with the sizes being 3 to 5 mm. However, the renal function remained steady and no obstruction and hematuresis appeared. The present serum creatine level was 73 μmol/L and eGFR was 104 mL/min/1.73 m2. No stones were detected in 2 female recipients after transplantation by regular ultrasound examination. The present serum creatine level and eGFR were 73 μmol/L and 78 mL/min/1.73 m2, and 74 μmol/L and 67 mL/min/1.73 m2 respectively.ConclusionEx vivo ureteroscopy could safely and efficiently handle calculi in donor kidney and obtain good early-middle outcomes of kidney transplantation. It is a reliable method to enhance the organ pool.Key words: Kidney transplantation; Donors; Renal calculus; Ureter mirror; Holmium laser" @default.
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- W3032663059 date "2016-04-20" @default.
- W3032663059 modified "2023-09-24" @default.
- W3032663059 title "Ex vivo ureteroscopic treatment of calculi in donor kidneys before renal transplantation: three cases report" @default.
- W3032663059 doi "https://doi.org/10.3760/cma.j.issn.0254-1785.2016.04.007" @default.
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