Dual kidney transplantation – a single-center experience
Authors:
J. Moláček 1,2,4; V. Třeška 1,2,4; B. Čertík 1,2,4; M. Čechura 1,2; R. Šulc 1,2; V. Opatrný 2; T. Reischig 2,3,4
Authors place of work:
Transplantační centrum FN v Plzni, přednosta: prof. MUDr. V. Třeška, DrSc.
1; Chirurgická klinika FN v Plzni, přednosta: prof. MUDr. V. Třeška, DrSc.
2; I. Interní klinika FN v Plzni, přednosta: prof. MUDr. M. Matějovič, Ph. D
3; LF Univerzity Karlovy v Plzni, děkan: prof. MUDr. B. Kreuzberg, CSc.
4
Published in the journal:
Rozhl. Chir., 2017, roč. 96, č. 7, s. 291-295.
Category:
Original articles
Summary
Introduction:
Dual kidney transplantation is one of the options to utilize the so-called marginal grafts, kidneys that would be insufficient for normal single transplantation. This time-consuming surgical procedure is also burdensome for the patient.
Methods:
The authors present their experience from the Pilsen Transplant Center. Between 2008 and 2016, 13 dual kidney transplantations were performed. Median donor age was 66 years (34–77) and median recipient age 46 years (40–78). Mean operating time was 4 hours and 40 minutes (3–6 h). Mean surgery ward stay was 5 days (4–6). Bilateral surgical technique was used in all cases. Mean follow-up time was 63 months (18–101).
Results:
From our group of DKTs (N=13), 4 patients (31%) experienced delayed graft function and we observed no primary graft non-function. Surgical complications occurred in 4 patients (31%). Currently, all 13 patients are living with good graft function, none of them being dependent on dialysis.
Conclusion:
Dual kidney transplantation is currently a viable option. The success and benefits of this surgical procedure are directly related to careful donor and recipient selection.
Key words:
dual kidney transplantation – marginal donor – chronic renal failure – expanded criteria donor
Zdroje
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4. Savoye E, Tamarelle D, Chalem Y, et al. Survival benefits of kidney transplantation with expanded criteria deceased donors in patients aged 60 years and over. Transplantation 2007;84:1618–24.
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9. Rao P, Schaubel DE, Guidinger MK, et al. A comprehensive risk quantification score for deceased donor kidneys: the kidney donor risk index. Transplantation 2009;88:231–36.
10. Haider H, Illanes HG, Ciancio G, et al. Dual kidney transplantation using midline extraperitoneal approach: description of a technique. Transplant Proc 2007;39:1118–9.
11. Rigotti P, Capovilla G, Di Bella C, et al. A single-center experience with 200 dual kidney transplantations. Clin Transplant 2014;28:1433–40.
12. Bunnapradist S, Gritsch HA, Peng A, et al. Dual kidneys from marginal adult donors as a source for cadaveric renal transplantation in the United States. J Am Soc Nephrol JASN 2003;14:1031–6.
13. Gill J, Cho YW, Danowitch GM, et al. Outcomes of dual adult kidney transplants in the United States: an analysis of the OPTN/UNOS database. Transplantation 2008;85:62–68.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2017 Číslo 7
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