Details

Autor(en) / Beteiligte

• Rodríguez Faba, Oscar
• Boissier, Romain
• Budde, Klemens
• Figueiredo, Arnaldo
• Taylor, Claire Fraser
• Hevia, Vital
• Lledó García, Enrique
• Regele, Heinz
• Zakri, Rhana Hassan
• Olsburgh, Jonathon
• Breda, Alberto

Titel

European Association of Urology Guidelines on Renal Transplantation: Update 2018

Ist Teil von

• European urology focus, 2018-03, Vol.4 (2), p.208-215

Ort / Verlag

Netherlands: Elsevier B.V

Erscheinungsjahr

2018

Quelle

MEDLINE

Beschreibungen/Notizen

• The European Association of Urology (EAU) panel on renal transplantation (RT) has released an updated version of the RT guidelines. To present the 2018 EAU guidelines on RT. A broad and comprehensive scoping exercise was performed, encompassing all areas of RT guidelines published between January 1, 2007, and May 31, 2016. Databases covered by the search included Medline, Embase, and the Cochrane Libraries. Previous guidelines were updated, and levels of evidence and grades of recommendation were assigned. It is strongly recommended to offer pure or hand-assisted laparoscopic/retroperitoneoscopic surgery as the preferential technique for living donor nephrectomy. Decisions on the acceptance of a donor organ should not be based on histological findings alone since this might lead to an unnecessarily high rate of discarded grafts. For ureterovesical anastomosis, a Lich-Gregoir-like extravesical technique protected by a ureteral stent is the preferred technique for minimisation of urinary tract complications. It is also strongly recommended to perform initial rejection prophylaxis with a combination therapy comprising a calcineurin inhibitor (preferably tacrolimus), mycophenolate, steroids, and an induction agent (either basiliximab or anti-thymocyte globulin). The long version of the guidelines is available at the EAU website (http://uroweb.org/guidelines). These abridged EAU guidelines present updated information on the clinical and surgical management of RT for incorporation into clinical practice. The European Association of Urology has released the renal transplantation guidelines. The implementation of minimally invasive surgery for organ retrieval and the latest evidence on transplant surgery as well as on immunosuppressive regimens are key factors for minimisation of rejection and achievement of long-term graft survival. These abridged European Association of Urology guidelines present updated information on the clinical and surgical management of renal transplantation for incorporation into clinical practice.