Increasing demand drives the expansion of criteria for kidney donation, and nephrolithiasis is now considered a relative contraindication. We report for the first time a case of intra-operative, postperfusion kidney allograft micronephrolithotomy. A 64-year-old man with end-stage renal disease secondary to Alport syndrome underwent primary deceased donor kidney transplantation at our center. Pre-operative ultrasound of the donor identified a 7-mm calculus in the anterior, lower pole calyx. The kidney was extra-peritoneally implanted in the right iliac fossa and reperfused homogenously. Stone retrieval with a flexible ureteroscope failed due to the narrow calyceal infundibulum. Instead, the calculus was removed using the micropercutaneous nephrolithotomy system under ultrasonographic guidance. The calyx was punctured using a 4.85 Fr needle and the stone was fragmented to dust using a Holmium laser. No bleeding was observed. The post-operative course was uneventful. Outpatient follow up demonstrated good function of the graft which was stone free on ultrasound. Postperfusion micropercutaneous nephrolithotomy for kidney allograft calculi offers a safe and feasible option when pre-operative or intra-operative retrograde intrarenal surgery fails.
Intra-operative Postperfusion Micronephrolithotomy for Renal Allograft Lithiasis: A Case Report / E. Favi, N. Raison, S. Zanetti, G. Sampogna, E. Montanari, M. Ferraresso. - In: TRANSPLANTATION PROCEEDINGS. - ISSN 0041-1345. - 50:10(2018 Dec), pp. 3950-3953.
|Titolo:||Intra-operative Postperfusion Micronephrolithotomy for Renal Allograft Lithiasis: A Case Report|
MONTANARI, EMANUELE (Penultimo) [Supervision]
FERRARESSO, MARIANO (Ultimo) [Writing – Review & Editing] (Corresponding)
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
Settore MED/24 - Urologia
|Data di pubblicazione:||dic-2018|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.transproceed.2018.05.017|
|Appare nelle tipologie:||01 - Articolo su periodico|