Simultaneous pancreas-kidney transplantation in a single center: 10-year retrospective analysis
Simultaneous pancreas-kidney transplantation in a single center: 10-year retrospective analysis作者机构:Department of Transplantation Tianjin First Central Hospital Tianjin 300192 China
出 版 物:《Chinese Medical Journal》 (中华医学杂志(英文版))
年 卷 期:2011年第124卷第5期
页 面:683-686页
核心收录:
学科分类:090801[农学-水产养殖] 082802[工学-农业水土工程] 1002[医学-临床医学] 0908[农学-水产] 08[工学] 0828[工学-农业工程] 09[农学] 0815[工学-水利工程] 0903[农学-农业资源与环境]
主 题:simultaneous pancreas-kidney transplantation diabetes mellitus, end-stage renal disease
摘 要:Background Simultaneous pancreas-kidney transplantation (SPKT) is the best treatment option for diabetic patients with advanced chronic renal failure. The current study aimed to analyze the surgical indications, treatments and prognosis of *** We retrospectively analyzed 40 cases of SPKT performed between December 1999 and January 2010 in our center, including the survival rate, complications and the reasons of *** Of all the 40 SPKT cases, the one-year survival rates of the recipients, kidney and pancreas transplant graft were 97.6%, 97.6% and 92.7%, while 97.6%, 91.1%, 92.7% at 3 years and 83.6%, 78.0%, 79.4% at 5 years, respectively. After SPKT, 10 patients need reoperation because of surgical complications (14 operations). The reoperation rate was 25%, including 2 patients (4 operations) with hematuria, 4 patients with abdominal hemorrhage, 2 patients (3 operations) with abdominal infection, 1 patient with pancreatic venous thrombosis, 1 patient with anastomotic leakage, and 1 patient with *** Although SPKT provides a successful and effective treatment for diabetics with end-stage renal disease, how to reduce the complications of this treatment still need further effort.