OUK REAKSMEY #289, st 156, Sangkat Teuk Laak II, Khan Tuol Kok, Phnom Penh, Cambodia (+855)17706092 reaksmeyouk016@gmail.com EDUCATION DFMS en Urologie (Diplôme de formation médicale spécialisée en Urologie), Claude Bernard Lyon I University, Lyon, France, 2018-2019. DES en Uro-Chirurgie ( Diplôme d’étude spécialisée), University of Health Sciences, 2015-2019 MD, University of Health Sciences, Phnom Penh, Cambodia 2009-2015 B.Ed (Bachelor of Education), Institute of Foreign Language, 2010-2014 TRAINING Residency in Urology and Renal transplantation , Edouard Herriot Hospital, Lyon, France 2018-2019. Residency in Urology, Kossamak Hospital, Phnom Penh Cambodia, 2017-2018. Residency in General and Pediatric surgery, Phnom Penh, Cambodia 2015-2017. PUBLICATIONS Reaksmey OUK et al. (2014). The role of partial nephrectomy in the management of renal angiomyolipoma, Phnom Penh, Cambodia. Reaksmey OUK et al. (2015). The management of genito-urinary melioidosis in Hospital Center of Hope, Phnom Penh, Cambodia. Reaksmey OUK et al. (2016). Retrospective study on the management of muscle invasive bladder cancer among 10 cases in Hospital Center of Hope, Phnom Penh, Cambodia. Reaksmey OUK et al. (2017). The management of retrocaval ureter, one case experience from Hospital Center of Hope, Phnom Penh, Cambodia.
SELECTED 2016 – “How to prevent stone recurrence” AURC (Asian urology resident course), Hongkong. PRESENTATION 2017- “The role of retroperitoneal lymph node dissection for renal cancer” AURC, Japan. PARTICIPATION 2016 ARUC and UAA (Urological Association of Asia), Singapore. 2017 ARUC and UAA (Urological Association of Asia), Hongkong. 2018 ARUC and UAA (Urological Association of Asia), Japan 2018 USANZ (Urological Society of Australia and New Zealand), Melbourne, Australia. PROFESSIONAL Member of Urological Association of Asia AFFILIATION Member of American Urological Association Member of Cambodia Urological Association LANGUAGE Khmer: Native proficiency English: Proficiency French: Good (B2) PERSONAL Road cycling, Tennis, Football, Running, Hiking INTEREST Motorcycle, Mountain Biking
Retrospective Study on the Role of Renal Autotransplantation for the Management of Complex Renal Carcinoma and Loin Pain Hematuria Syndrome in the period of 1 year, 2 cases of experience from Edouart Herriot Hospital, Lyon, French Reaksmey OUK 1, 2,* , Ricardo Codas1 1 , Sébastien Crouzet 1 , Xavier Matin 1 , Lionel Badet 1 1 Edouart Herriot Hospital, Lyon, French 2 Department of Urology, Cambodia-China Friendship Preah Kossamak Hospital * Corresponding Author: reaksmeyouk016@gmail.com ABSTRACT Objective: To review the role of renal auto-transplantation for the management of complex RCC and loin pain hematuria syndrome in our hospital university, Lyon, French. Material and methods: It is a retrospective study, during 1 year in 2018-2019. We had done around 18 renal auto-transplantations but we excluded robotic auto-renal transplantation. We only included the only 2 cases by which were done by laparscopic surgery in our service. Results: Case 1: A 57 year old man present to us a 9 cm mass in the right kidney. His antecedents are splenectomy and left nephrectomy after accident in 1978. His pass medical history is marked by the fact that in the last 2 year he has been observed strictly for left renal mass, which is getting bigger and bigger. His last CT scan showed left renal mass on the posterior aspect of the kidney which make it difficile to do partial nephrectomy and it would increase the ischemia time. So, with the idea of different specialists, we decided to do renal autotransplantation. After the operation, there is no complication noted beside pain which is treated by morphine. Doppler ultrasound in the 1 st and CT scan in 7 th day showed no thrombosis of the renal vein and a functionning kidney. Case 2: A 48 year old female present to us with a suspection of loin pain hematuria syndrome. Her antecedents are thyroid cancer treated with total thyroidectomy, Deep vein thrombosis and left colicky pain in 2/3 of the year. We had done an exhaustive of medical procedure and imaging to rule out other causes of pain and we finally arrived to conclude that she has LPHS. We had done RAT and there is no complication seen after operation. In 1 and 3 months, we could see that she has no pain and she better integrated into her social life. Conclusion: Renal auto-transplantation is a complex procedure which requires an experience transplant surgeon. Its indications go beyond complex ureteral injuries. Today, it is usually indicated in the management of LPHS, Complex RCC, and renal artery anevrism. And, it is usually considered a last resort type of procedure. Keywords: Complex RCC (Renal cell carcinoma) ; LPHS (Loin pain hematuria syndrome) ; RAT (Renal auto-transplantation
Retrospective study on the role of renal autotransplantation for the management of complex renal carcinoma and loin pain hematuria syndrome in the period of 1 year, 2 cases of experience from Edouard Herriot Hospital, Lyon, France Reaksmey OUK 1, 2,* , Hakim Fashi Ferhi 1 , Ricardo Codas1 1 , Sébastien Crouzet 1 , Xavier Matin 1 , Lionel Badet 1 1 Edouart Herriot Hospital, Lyon, French 2 Department of Urology, Cambodia-China Friendship Preah Kossamak Hospital * Corresponding Author: reaksmeyouk016@gmail.com Introduction Renal auto-transplantation (RAT) is a suitable option for managing patients with major ureteric injury. The first case was performed by JD Hardy in 1963 to repair a ureteric injury [1]. Conventional RAT is, however, underutilized because of its invasiveness. The laparoscopic approach has now become commonplace in many urological diseases’ management, decreasing the morbidity of RAT [2]. The current gold standard approach is a laparoscopic nephrectomy followed by open auto-transplantation [3]. Robot-assisted RAT (R-RAT) is a recent innovative application and there is a trend that tend to do a complete intracoporal renal autotransplantation. Presentation of the case Case 1: A 57-year-old man present to us a 9 cm mass in the right kidney. His antecedents are splenectomy and left nephrectomy after accident in 1978. His pass medical history is marked by the fact that in the last 2 years he has been observed strictly for left renal mass, which is getting bigger and bigger. His last CT scan showed left renal mass on the posterior aspect of the kidney which make it difficile to do partial nephrectomy and it would increase the ischemia time. So, with the idea of different specialists, we decided to do renal autotransplantation. Figure 1 Complex renal tumor of the renal hilum
After the operation, there is no complication noted beside pain which is treated by morphine. Doppler ultrasound in the 1st and CT scan in 7th day showed no thrombosis of the renal vein and a functioning kidney. Figure 2 CT in 7th day post-operation Case 2: A 48-year-old female present to us with a suspicion of loin pain hematuria syndrome. Her antecedents are thyroid cancer treated with total thyroidectomy, Deep vein thrombosis and left colicky pain in 2/3 of the year. Figure 3 CT on patient with LPHS We had done an exhaustive of medical procedure and imaging to rule out other causes of pain and we finally arrived to conclude that she has LPHS.
Figure 4 Lateral-to-end renal artery and external iliac artery anastomosis We had done RAT and there is no complication seen after operation. In 1 and 3 months, we could see that she has no pain and she better integrated into her social life. Figure 5 Complete anastomosis Material and Methods – 2 Patients – Age 57 et 48 years old Periode : 1 st January 2018 à 30th July 2019 – – Exclusion : – Robotic autotransplantation – The same operation in Lyon Sud Hospital
– Pathology : Complex renal tumor and LPHS – Procedure : Laparoscopic nephrectomy + Iliac incision – Post-op complication : Pain EVA 6 (Morphine) – Post-op evaluation : Doppler D1 good, CT D7 good – Limit of study : No long term result Discussion The first study for the role of renal autotransplantation at Edouad Herriot Hospital was conducted in 2012 on the managment of 4 cases of LPHS. It is precisely focus on the role of mini invasive procedure comparing to traditional surgery. And they come up with a conclusion that mini-invasive procedure is prefered since they offer the following advantages : Less pain, fast recovery and short hospital stay [4]. Besides, there is the study at CHU de Lille on the managment of complex intra-renal artery aneurism. They perform a very successful surgery by 2 teams which consist of urologist and vascular surgeon. – Objectives : – Management of complexe renal artery aneuvrism (Vascular and uro team) + Exclusion (Possibility of endovascular treatment) + Traitement (Complex morphology of the aneuvrism + risk of spontaneous repture) – Methods : – Between 2015-16, 4 cases. Kidney harvesting (2 Lombo + 2 Lap) . Saphenous vein harvesting. Kidney preparation ( Dissection of the anevrism + resection et reimplantation of the saphenous vein) + Transplantation – Results : – Mean operative time 420 min + No post- �������������������������������������������������� (Saphenous V thrombosis => Medical treatment) . CT D7 perfect . IRM 3 months perfect – Conclusion : – Last options of treatment – Experienced surgeon – 2 teams
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