Complications of ureterovesical anastomosis in adult renal transplantation: Comparison of the Lich-Gregoire and the Taguchi techniques

Ameer, Ahmad, Aljiffry, Murad, Jamal, Mohammad, Hassanain, Mazen, Doi, Suhail, Fernandez, Myriam, Metrakos, Peter, Cantarovich, Marcelo, Chaudhury, Prosonto and Tchervenkov, Jean (2011) Complications of ureterovesical anastomosis in adult renal transplantation: Comparison of the Lich-Gregoire and the Taguchi techniques. Annals of Transplantation, 16 3: 82-87.

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Name Description MIMEType Size Downloads
Author Ameer, Ahmad
Aljiffry, Murad
Jamal, Mohammad
Hassanain, Mazen
Doi, Suhail
Fernandez, Myriam
Metrakos, Peter
Cantarovich, Marcelo
Chaudhury, Prosonto
Tchervenkov, Jean
Title Complications of ureterovesical anastomosis in adult renal transplantation: Comparison of the Lich-Gregoire and the Taguchi techniques
Journal name Annals of Transplantation   Check publisher's open access policy
ISSN 1425-9524
Publication date 2011-09-01
Sub-type Article (original research)
Volume 16
Issue 3
Start page 82
End page 87
Total pages 6
Place of publication Warszawa, Poland
Publisher Institute of Transplantation Sciences, Medical University of Warsaw
Language eng
Formatted abstract
Background: Our aim is to identify the incidence of urologic complications in adult renal transplantation comparing two different ureterovesical anastomosis techniques, the Taguchi (T) and Lich-Gregoire (LG).
Material/Methods: Retrospective analysis of adult renal transplants performed at the MUHC between 2000–2009. Excluded: multi-organ transplants, re-do transplants, variant ureteric anastomosis and patients received grafts from UNOS ECD. 372 patients were analyzed. 209 patients (56%) in the T group and 163 patients (44%) in the LG group. Fisher’s exact test was used to compare the groups for urologic complications. A multivariate analysis was performed to identify factors associated with graft rejection and death.
Results: 21 patients developed a urinary leak or stricture. A total of 13 patients (3.4%) developed ureteric strictures and 9 (2.4%) patients developed urinary leak with no difference in urinary leak or stricture between both groups (p=1). Hematuria requiring intervention developed in 55 patients. A higher incidence of complicated hematuria in the T group when compared to the LG group (37 vs. 18, p=0.079)). No differences in other ureteric complications between the 2 groups. Delayed graft function OR=3.4 (95% CI=1.8–6.3) and grafts from a deceased donors OR=2.2 (95% CI=1.1–4.5) are factors associated with graft loss. Factors associated with first episode of rejection include delayed graft function OR=2.4 (95% CI=1.3–4.4), and the development of ureteric stricture OR=3.9 (95% CI=1.8–8.7).
Conclusions: Both techniques can be used interchangeably for adult renal transplantation. T technique is associated with a greater risk of hematuria. Ureteric strictures are associated with a shorter time to first graft rejection.

Keyword Kidney transplantation
Taguchi method
Lich-Gregoire technique
Ureteroneocystostomy Techniques
Reimplantation Techniques
Urological Complications
Kidney-Transplantation
Graft Function
Risk-Factors
Implantation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
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