D. LyonTimothy, WijkstromMartin, HumarAbhinav, M. RileyJulie
{"title":"体外输尿管镜联合激光输尿管切开术在活体肾移植中的应用","authors":"D. LyonTimothy, WijkstromMartin, HumarAbhinav, M. RileyJulie","doi":"10.1089/VID.2013.0065","DOIUrl":null,"url":null,"abstract":"Abstract Introduction: The management of incidentally discovered renal stones in living donor candidates is evolving. Recently, the safety and efficacy of ex vivo ureteroscopy for stone removal in donor kidneys have been described.1–3 Here, we present our experience with ex vivo ureteroscopy and laser infundibulotomy for the treatment of a stone contained within a calyceal diverticulum. Calyceal diverticulae are known to harbor bacteria and pose an infection risk for the immunosuppressed recipient,4 leading us to decide that treatment was prudent before transplantation. Materials and Methods: A 38-year-old woman with a previous stone episode presented for the evaluation as a living kidney donor. Preoperative computed tomography angiogram revealed two incidental stones in the left kidney, measuring 6 and 2 mm, with a density of 530 Hounsfield units. Litholink 24-hour urine collection was significant for hypernatremia and hypercalciuria. Following left hand-assisted laparoscopic donor nephrectomy, the kidne...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"4 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2014-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ex Vivo Ureteroscopy with Laser Infundibulotomy in Living Donor Kidney Transplantation\",\"authors\":\"D. LyonTimothy, WijkstromMartin, HumarAbhinav, M. RileyJulie\",\"doi\":\"10.1089/VID.2013.0065\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract Introduction: The management of incidentally discovered renal stones in living donor candidates is evolving. Recently, the safety and efficacy of ex vivo ureteroscopy for stone removal in donor kidneys have been described.1–3 Here, we present our experience with ex vivo ureteroscopy and laser infundibulotomy for the treatment of a stone contained within a calyceal diverticulum. Calyceal diverticulae are known to harbor bacteria and pose an infection risk for the immunosuppressed recipient,4 leading us to decide that treatment was prudent before transplantation. Materials and Methods: A 38-year-old woman with a previous stone episode presented for the evaluation as a living kidney donor. Preoperative computed tomography angiogram revealed two incidental stones in the left kidney, measuring 6 and 2 mm, with a density of 530 Hounsfield units. Litholink 24-hour urine collection was significant for hypernatremia and hypercalciuria. Following left hand-assisted laparoscopic donor nephrectomy, the kidne...\",\"PeriodicalId\":92923,\"journal\":{\"name\":\"Journal of endourology. Part B, Videourology\",\"volume\":\"4 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-06-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of endourology. Part B, Videourology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/VID.2013.0065\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of endourology. Part B, Videourology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/VID.2013.0065","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Ex Vivo Ureteroscopy with Laser Infundibulotomy in Living Donor Kidney Transplantation
Abstract Introduction: The management of incidentally discovered renal stones in living donor candidates is evolving. Recently, the safety and efficacy of ex vivo ureteroscopy for stone removal in donor kidneys have been described.1–3 Here, we present our experience with ex vivo ureteroscopy and laser infundibulotomy for the treatment of a stone contained within a calyceal diverticulum. Calyceal diverticulae are known to harbor bacteria and pose an infection risk for the immunosuppressed recipient,4 leading us to decide that treatment was prudent before transplantation. Materials and Methods: A 38-year-old woman with a previous stone episode presented for the evaluation as a living kidney donor. Preoperative computed tomography angiogram revealed two incidental stones in the left kidney, measuring 6 and 2 mm, with a density of 530 Hounsfield units. Litholink 24-hour urine collection was significant for hypernatremia and hypercalciuria. Following left hand-assisted laparoscopic donor nephrectomy, the kidne...