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Year : 2013  |  Volume : 7  |  Issue : 1  |  Page : 2-5

Is the ureter to the kidney the same as the bile duct to the liver? A perspective from the cadaveric donor

1 Department of Renal Transplant; Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK
2 Department of Renal Transplant, Freeman Hospital, Newcastle upon Tyne, UK

Correspondence Address:
Vitali Mezentsev
Department of Urology, Freeman Hospital, Newcastle upon Tyne NE7 7DN
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Source of Support: None, Conflict of Interest: None

DOI: 10.1016/j.ijt.2013.01.003

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Objectives: Both the ureter and bile duct are vulnerable during transplantation. The aim of this study was to compare ureteric and bile duct complications following kidney and liver transplant respectively. Methods: We analysed the rate of urological complications in 423 renal transplant operations performed on 419 patients in our unit from 2007 till 2011. The donor source was after brain death – DBD, after cardiac death – DCD and live donors. 138 liver transplants from cadaveric donors were reviewed for biliary complications. In live donors kidneys were procured laparoscopically. Results: In the kidney group there was a urological complication rate of 4.2% in recipients from deceased donor and 3.6% from living donors. The difference between the rate of ureteric complications from deceased and living donors was not statistically significant. In 138 liver recipients with duct to duct anastomotic technique 29 developed bile duct complications (21%). The difference between the rate of bile duct strictures between DCDs and DBDs was not statistically significant. Conclusion: The rate of bile duct complications in cadaveric liver recipients was significantly higher than the rate of ureteric strictures in kidney recipients, p < 0.01. Biliary strictures were often multiple and longer than ureteric strictures.

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