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TRANSPLANTACIJA BUBREGA U BOLESNIKA S URINARNOM DIVERZIJOM
KIDNEY TRANSPLANTATION IN A PATIENT WITH URINARY DIVERSION
DEAN MARKIĆ, MAKSIM VALENČIĆ, GIAMPAOLO VELČIĆ, ANTON MARIČIĆ, ROMANO OGUIĆ, STANISLAV SOTOŠEK, JOSIP ŠPANJOL, ŽELJKO FUČKAR*
Deskriptori: Transplantacija bubrega – metode; Urinarna diverzija – metode; Ileum – kirurgija; Preživljenje presatka
Sažetak. Transplantacija bubrega je najučinkovitiji način liječenja bolesnika s terminalnim kroničnim bubrežnim zatajenjem. Transplantacija u bolesnika s urinarnom diverzijom efikasan je način liječenja pacijenata koji imaju disfunkcionalan donji urinarni trakt. Preživljenje presatka, ali i bolesnika ne razlikuje se u odnosu na bolesnike s klasičnom ureterovezikalnom anastomozom. Predstavljamo jednog bolesnika s urinarnom diverzijom (ilealni konduit) koji je uspješno prije 2 godine transplantiran u našem centru.
Descriptors: Kidney transplantation – methods; Urinary diversion – methods; Ileum – surgery; Graft survival
Summary. Kidney transplantation is the most efficient treatment in patients with end-stage renal disease. Transplantation in patients with urinary diversion is an effective treatment for patients with chronic renal insufficiency and abnormal lower urinary tract. Graft and patient survival is comparable to that with classical ureterovesical anastomosis. We present one patient with urinary diversion (ileum conduit) who was successfully transplanted in our center two years ago.
Liječ Vjesn 2009;131:308–311 |
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