Research Article

Kidney Autotransplantation and Orthotopic Kidney Transplantation: Two Different Approaches for Complex Cases

Table 10

Largest series of OKT published in the literature to date.

AuthorYearSampleIndicationsComplication rateGraft survival

Gil-Vernet et al. [9]1989139Alternative to HKT (elective surgery)Vascular: 4/139 (2.8%)Graft loss rate: 7/139 (5%)
Urinary: 5/139 (2.8%)

Paduch et al. [10]20015Severe iliac atherosclerosis: 3NAGraft survival: 100% during follow-up (from 6 months to 5 years)
Retained bilateral iliac fossa kidney transplant: 2

Rodrigues et al. [11]20044Bilateral occlusion of common iliac arteries: 4NAGraft survival: 100% (9 days–14 months)

Musquera et al. [4]2010223 (84 in the modern period)Severe iliac atherosclerosis: 41.7%Vascular: 13/84 (9.6%)Graft survival at 1 year: 86.4%
Bilaterally retained iliac fossae from a previous kidney transplant: 28.9%Urinary: 16/84 (19.1%)
Elective: 4.5%

Hevia et al. [2]20149Unsuitable iliac region: 67%Early: 33.3% (3/9)Graft survival at 1 year: 88.9%
LUT abnormalities/urinary diversion: 33%Late: 22.2% (2/9)

Chan et al. [12]20193IVC thrombosis or stenosisEarly: 100% (2 Clavien grade 2 and 1 Clavien grade 3a)NA