Back to Search
Start Over
Surgical Safety and Efficacy of Third Kidney Transplantation in the Ipsilateral Iliac Fossa
- Source :
- Annals of transplantation, 24, 132-138. INT SCIENTIFIC LITERATURE, INC, Annals of Transplantation, 24, 132-138. International Scientific Information, Inc., Annals of Transplantation
- Publication Year :
- 2019
-
Abstract
- Background: Kidney re-transplantation is a relevant option for patients who are returning to dialysis after graft failure. However, evidence is lacking to what extend a third kidney transplantation in the ipsilateral iliac fossa is safe and effective. The aim of this study was to investigate the outcomes of third kidney transplantations in the ipsilateral iliac fossa compared to first and second ipsilateral fossa kidney transplantations. Material/Methods: There were 2074 kidneys transplanted at the Erasmus MC Rotterdam and at the University Medical Centre Groningen. Donor, recipient, and surgical data were collected. The cohort was divided into 3 groups: recipients of a first graft (I KTx; n=1744), recipients of a second graft (II KTx; n=44), and recipients of a third graft (III KTx; n=7). Results: Recipients from the II KTx group had a significantly higher rate of primary non-function (PNF) compared to recipients in the I KTx group and recipients in the III KTx group (4.5% versus 0.7% and 0% respectively; P=0.006). The 1-year graft survival did not differ between groups: 96% for I KTx, 91% for II KTx, and 85% for III KTx (P=0.214). The 5-year graft survival did differ significantly between groups: 89% for I KTx, 82% for II KTx, and 68% for III KTx (P=0.029). There were no differences regards hospital stay and rate of complications between groups. Conclusions: Third kidney transplantation in the ipsilateral iliac fossa is feasible and viable. Short-term results are comparable to the first and the second kidney transplantation, however, long-term results are inferior but acceptable compared to dialysis.
- Subjects :
- Adult
Graft Rejection
Male
Reoperation
medicine.medical_specialty
Fossa
medicine.medical_treatment
030232 urology & nephrology
Iliac fossa
graft survival
030230 surgery
Ilium
03 medical and health sciences
Postoperative complications
0302 clinical medicine
Surgical safety
medicine
Humans
Kidney transplantation
Dialysis
Aged
Retrospective Studies
Original Paper
Transplantation
Kidney
biology
business.industry
Delayed graft function
General Medicine
Middle Aged
medicine.disease
biology.organism_classification
Kidney Transplantation
Surgery
Treatment Outcome
medicine.anatomical_structure
Cohort
Female
Graft survival
business
Subjects
Details
- Language :
- English
- ISSN :
- 14259524
- Database :
- OpenAIRE
- Journal :
- Annals of transplantation, 24, 132-138. INT SCIENTIFIC LITERATURE, INC, Annals of Transplantation, 24, 132-138. International Scientific Information, Inc., Annals of Transplantation
- Accession number :
- edsair.doi.dedup.....941d17f0742efd92027f77df73719f7a