2026-04-14T02:32:36Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2204492026-04-10T18:51:09Zcom_2072_1057col_2072_478800col_2072_478917

Living donor-gifted allograft lithasis: surgical experience after bench surgery Stone removal and follow-up. Sierra, Alba Castillo, Carlos Carbonell, Enric Muní, Maria Martínez, Carmen López, Juan Manuel Peri Cusí, Lluís Alcaraz Asensio, Antonio Luque Gálvez, Ma. Pilar Musquera, Mireia Càlculs renals Trasplantament renal Malalties del ronyó Urologia Kidney calculi Kidney transplantation Kidney diseases Urology This study presents the surgical experience and long-term outcomes of living donor kidney transplantations involving asymptomatic kidney stones, using ex vivo fexible ureterorenoscopy (f-URS) during bench surgery for stone removal. Out of 1743 living kidney donors assessed between January 2012 and October 2022, 18 (1%) were diagnosed with urolithiasis. Among them, 12 donors were rejected, and 6 were accepted for kidney donation. Stone removal was successfully performed using f-URS during bench surgery, with no immediate complications or acute rejections observed. The study analyzed six living kidney transplants, of which 4 (67%) donors and three recipients were female, and 4 (67%) donors were blood-related to the recipient. The median age for donors and recipients was 57.5 and 51.5 years, respectively. The stones, primarily located in the lower calyx, had a median size of 6 mm. The median cold ischemia time during surgery was 41.6 min, and ex vivo f-URS ensured complete stone removal in all cases. After a median follow-up of 120 months, the remaining grafts were functioning well, and no urinary stone recurrence was observed in either the recipients or living donors. The fndings suggest that bench f-URS is a safe approach for managing urinary stones in kidney grafts, providing good functional outcomes without stone recurrence in selected cases. 2025-04-14T13:51:37Z 2025-04-14T13:51:37Z 2023-06-26 2025-04-14T13:51:37Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2194-7228 https://hdl.handle.net/2445/220449 742296 37358636 eng Reproducció del document publicat a: https://doi.org/10.1007/s00240-023-01463-1 2023 https://doi.org/10.1007/s00240-023-01463-1 cc by (c) Sierra, Alba et al., 2023 https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess 6 p. application/pdf Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)