KẾT QUẢ PHẪU THUẬT CẮM NIỆU QUẢN BÀNG QUANG Ở BỆNH NHÂN GHÉP THẬN TỪ NGƯỜI CHO CHẾT NÃO

Abstract

Objective: To assess the outcomes of the Lich Gregoir technique of deceased donors kidney transplantation at Viet Duc Hospital. Patients and Method: This study employed a clinical descriptive approach and included 82 deceased donor kidney transplant recipients. The research parameters included pre-transplant hemodialysis duration, peritoneal dialysis duration, pre-transplant bladder capacity (small < 100ml, large > 100ml), characteristics of the recipient's bladder, and surgical details of the kidney transplant procedure (warm ischemia time, cold ischemia time, ureteral stenting duration, surgical time). Early urinary complications were also recorded, such as hematuria, ureteral stricture, and urinary leakage. Results: The longest pre-transplant hemodialysis duration was 18 years (1 case). Approximately 12.2% of patients received a kidney transplant before requiring hemodialysis. The average pre-transplant hemodialysis duration was 21.71±36.55 (ranging from 0 to 216) months. Small bladder capacities were found in about 25% of cases, predominantly in patients with long-standing urinary obstruction. The average bladder capacity was 217.3 ± 101.4 ml, with the smallest being 40ml and the largest 350ml. The average duration of ureteral stenting among the 82 cases in our study was 27.5 ± 12.0 minutes, with the quickest being 13 minutes and the longest 70 minutes. Among the three cases of ureteral stricture, two required reconstruction of the anastomosis, while one underwent ureteral dilation. One case of lymphocele and one case of surgical site infection were managed conservatively. Conclusion: The extracorporeal ureteral stenting technique in deceased donor kidney transplantation is as effective as in living donor cases, with low complication rates. Bladder capacity does not affect graft kidney function.