Revista do Colégio Brasileiro de Cirurgiões (Dec 2022)

Ultrashort anisoperistaltic end-to-side ureteroureterostomy in renal transplantation

  • CRISTIANO SOUZA LEÃO,
  • RAFAEL AZEVEDO FOINQUINOS,
  • ANA LUIZA DE SOUZA LEAO,
  • ILAN CUBITS KYRILLOS OLIVEIRA CAPELA,
  • MARIA JULIA GONÇALVES MELLO

DOI
https://doi.org/10.1590/0100-6991e-20223365-en
Journal volume & issue
Vol. 49

Abstract

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ABSTRACT The improvement of surgical techniques in kidney transplantation aims to reduce the incidence of post-transplant complications, contributing to the reduction of hospital stay, related costs, morbidity and mortality, in addition to improving the quality of life of patients. The choice of the best technique is influenced by several factors and the most common technique for urinary tract reconstruction in transplants is performed with implantation of the ureter of the graft in the caudal position, with the anastomosis performed in the bladder. However, the kidney pole can be inverted and the graft ureter anastomosis can be performed directly on the recipient’s ureter, facilitating venous and ureteral anastomoses and reducing urological complications.

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