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TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA
Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, 73 (2019), 3; 261-265. urn:nbn:hr:184:103690
Materljan, Mauro; Rački, Sanjin; Rubinić, Nino; Orlić, Lidija; Rahelić, Dražen; Markić, Dean; Španjol, Josip; Oguić, Romano; Krpina, Kristian; Gršković, Antun

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Materljan, M., Rački, S., Rubinić, N., Orlić, L., Rahelić, D., Markić, D. ... Gršković, A. (2019). TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA. Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, 73. (3), 261-265. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:103690

Materljan, Mauro, et al. "TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA." Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, vol. 73, no. 3, 2019, pp. 261-265. https://urn.nsk.hr/urn:nbn:hr:184:103690

Materljan, Mauro, Sanjin Rački, Nino Rubinić, Lidija Orlić, Dražen Rahelić, Dean Markić, Josip Španjol, Romano Oguić, Kristian Krpina and Antun Gršković. "TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA." Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske 73, no. 3 (2019): 261-265. https://urn.nsk.hr/urn:nbn:hr:184:103690

Materljan, M., et al. (2019) 'TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA', Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, 73(3), pp. 261-265. Available at: https://urn.nsk.hr/urn:nbn:hr:184:103690 (Accessed 26 December 2024)

Materljan M, Rački S, Rubinić N, Orlić L, Rahelić D, Markić D, and sur.. TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA. Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske [Internet]. 2019 [cited 2024 December 26];73(3):261-265. Available at: https://urn.nsk.hr/urn:nbn:hr:184:103690

M. Materljan, et al., "TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA", Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, vol. 73, no. 3, pp. 261-265, 2019. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:103690. [Accessed: 26 December 2024]

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Title (croatian)TRANSPLANTACIJA BUBREGA U BOLESNIKA S PRETHODNO UČINJENOM URINARNOM DERIVACIJOM I AUGMENTACIJOM MOKRAĆNOG MJEHURA
Title (english)KIDNEY TRANSPLANTATION IN PATIENTS WITH PREVIOUSLY PERFORMED URINARY DIVERSION AND BLADDER AUGMENTATION
AuthorMauro Materljan
AuthorSanjin Rački
AuthorNino Rubinić
AuthorLidija Orlić
AuthorDražen Rahelić
AuthorDean Markić
AuthorJosip Španjol
AuthorRomano Oguić
AuthorKristian Krpina
AuthorAntun Gršković
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Urology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Urology
Abstract (croatian)
U nekih bolesnika s kongenitalnim ili stečenim poremećajima donjeg dijela mokraćnog sustava neophodno je prije transplantacije učiniti odgovarajuću urinarnu derivaciju ili augmentaciju mjehura. Prikazat ćemo naša iskustva u bolesnika u kojih je učinjena transplantacija bubrega koristeći urinarnu derivaciju ili augmentaciju mjehura. Na Klinici za urologiju Kliničkog bolničkog centra u Rijeci, između 30. siječnja 1971. i 17. svibnja 2018. godine ukupno smo učinili 1135 transplantacija bubrega. Retrospektivno smo analizirali bolesnike u kojih je učinjena transplantacija bubrega koristeći urinarnu derivaciju ili augmentirani mokraćni mjehur. Do sada je u 6 takvih bolesnika (ilealni konduit – 3 bolesnika, Mainz-Pouch I - 1 bolesnik, Mainz-Pouch III – 1 bolesnik, augmentacija mjehura s kolonom – 1 bolesnik) učinjena transplantacija bubrega. Uzrok disfunkcije donjeg dijela mokraćnog sustava bio je: neurogeni mjehur (3 bolesnika), karcinom mokraćnoga mjehura (2 bolesnika) i valvule stražnje uretre (1 bolesnik). Jednogodišnjeg preživljenja presatka bilo je 83 %, a bolesnika 100 %. Jedan bolesnik je četiri godine nakon transplantacije umro zbog mezotelioma pleure uz funkcionirajući transplantat. U svih ostalih bolesnika transplantat je i dalje funkcionalan. Bolesnicima s urinarnom derivacijom ili augmentacijom mjehura može se uspješno dati transplantat. Iako se radi o kirurški zahtjevnom zahvatu, dugotrajni rezultati su podudarni s rezultatima transplantacije u standardnoj populaciji te je neophodno poticati uvrštenje ovih bolesnika na listu čekanja za transplantaciju bubrega.
Abstract (english)
Kidney transplantation is the most effective treatment for patients with end-stage renal disease. The prerequisite for kidney transplantation is the normal lower urinary tract system. In some patients with congenital or acquired disorders of the lower urinary tract, it is necessary to form adequate urinary diversion or bladder augmentation. This should be done prior to kidney transplantation. We present experience from our center with renal transplantation using urinary diversion or bladder augmentation. At Department of Urology, Rijeka University Hospital Centre, 1135 kidney transplantations were performed between January 30, 1971 and May 17, 2018. We retrospectively analyzed transplant patients with urinary diversion or bladder augmentation. During the observed period, we performed 6 kidney transplantations in patients with urinary diversion or bladder augmentation. Ileum conduit was performed in 3 patients, and Mainz pouch I and Mainz pouch III in one patient each. One patient had bladder augmentation with colon. The cause for urinary reconstruction was neurogenic bladder (3 patients), bladder cancer (2 patients) and posterior urethral valve (1 patient). Transplantation was heterotopic in five patients and orthotopic in one patient. One-year graft survival was 83% and one-year patient survival was 100%. In one patient, graftectomy was performed because of venous thrombosis. One patient died four years after transplantation because of pleural mesothelioma but with functional graft. All other grafts are still in function (1-23 years after kidney transplantation). Patients with urinary diversion and bladder augmentation could be successfully transplanted. Instead of more complicated operation, long-term results are comparable with the results of standard transplant population. This must encourage us to include patients with urinary diversion and bladder substitution on the waiting list for kidney transplantation.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeProfessional paper - Professional paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleActa medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske
Numberingvol. 73, no. 3, pp. 261-265
p-ISSN1330-0164
e-ISSN1848-8897
URN:NBNurn:nbn:hr:184:103690
Publication2019
Document URLhttps://hrcak.srce.hr/229948
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2019-12-17 15:12:09