eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2015
vol. 10
 
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abstract:
Case report

Ex vivo pyelotomy, nephroscopy and holmium laser lithotripsy of a staghorn stone in a donor kidney prior to renal transplant

Dariusz Janczak
,
Barbara Bolanowska
,
Paweł Jankowski
,
Tadeusz Dorobisz
,
Karolina Dorobisz
,
Mariusz Chabowski
,
Dawid Janczak
,
Tomasz Szydełko

Videosurgery Miniinv 2015; 10 (2): 286–289
Online publish date: 2015/06/25
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This case report presents the diagnostic and treatment procedures of stone removal from the kidney of a 67-year-old donor, the transplantation of the kidney to a 65-year-old recipient, and the postoperative course until the end of hospitalization. Computed tomography performed before collecting the organ showed a staghorn stone in the renal pelvis and lower calyces in the right donor kidney. The stones were removed ex-vivo using a rigid ureteroscope and a holmium laser prior to transplantation. Then the organ was transplanted to the left iliac fossa of a 65-year-old man with end-stage renal failure. The authors think there is a possibility of increasing the kidney pool, by using organs containing large calculi. In such cases stones should be removed before the operation and the patient should be monitored regularly, especially in the first months after the transplant.
keywords:

renal transplant, nephrolithiasis, laser lithotripsy

  
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