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A Single-Center Experience With Third and Fourth Kidney Transplants and Second Kidney Transplant After Pancreas-Kidney Transplant: Surgical Aspects and Outcomes.
- Source :
-
Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [Exp Clin Transplant] 2020 Apr; Vol. 18 (2), pp. 149-152. Date of Electronic Publication: 2020 Feb 07. - Publication Year :
- 2020
-
Abstract
- Objectives: Overall, 25% to 33% of patients on kidney transplant wait lists present with prior graft loss. In addition, the number of patients who require a retransplant seems to be increasing. Here, we describe our experience with patients who had a second kidney transplant after a previous pancreas-kidney transplant or a third or fourth kidney transplant. We focused specifically on the technical aspects and outcomes related to this patient group.<br />Materials and Methods: A single-center retrospective study was performed. The cohortincluded 15 patients > 18 years old who had received a second kidney graft after pancreas-kidney transplant or a second or greater kidney graft between 2013 and 2019.<br />Results: Median age of recipients was 45 years (range, 20-58 y). In 10 patients, the transperitoneal approach was selected. In 5 patients, the retroperitoneal heterotopic kidney retransplant technique was used. Early surgical complications (≤ 30 days posttransplant) were reported in 4 patients. Three patients had late ureteral stenosis (> 90 days posttransplant). All grafts were functioning at time of patient discharge. Mean creatinine level was 2.69 mg/dL (range, 1.23-6.26 mg/dL). The 1-year and 2-year graft survivalrates were 85% and 75%, respectively. No grafts were lost because of surgical complications.<br />Conclusions: Retransplant of a second graft after pancreas-kidney transplant or retransplant of a third or fourth renal graft is challenging but feasible, with evidence of reasonably positive outcomes after retransplant.
- Subjects :
- Adult
Female
Graft Survival
Humans
Male
Middle Aged
Postoperative Complications etiology
Retrospective Studies
Risk Assessment
Risk Factors
Spain
Time Factors
Treatment Outcome
Young Adult
Kidney Transplantation adverse effects
Pancreas Transplantation adverse effects
Reoperation adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 2146-8427
- Volume :
- 18
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation
- Publication Type :
- Academic Journal
- Accession number :
- 32039668
- Full Text :
- https://doi.org/10.6002/ect.2019.0372