Angel Moya-Herraiz1, Luis Muñoz-Bellvis2, Joana Ferrer-Fábrega3, Alejandro Manrique Municio4, José Antonio Pérez-Daga5, Cristóbal Muñoz-Casares6, Antonio Alarcó-Hernández7, Manuel Gómez-Gutiérrez8, Daniel Casanova-Rituerto9, Francisco Sanchez-Bueno10, Carlos Jimenez-Romero11, Laureano Fernández-Cruz Pérez12. 1. Unidad de Cirugía HPB y Trasplante, Servicio de Cirugía General, Hospital Universitari y Politècnic La Fe, Valencia, España. Electronic address: moya.ang@gmail.com. 2. Servicio de Cirugía, Hospital General Universitario, Salamanca, España. 3. Servicio de Cirugía Hepato-bilio-pancreática y Trasplante, ICMDiM, Hospital Clínic, Barcelona, España. 4. Servicio de Cirugía, Hospital Doce de Octubre, Madrid, España. 5. Servicio de Cirugía, Hospital Universitario Carlos Haya, Málaga, España. 6. Servicio de Cirugía, Hospital Universitario Reina Sofía, Córdoba, España. 7. Servicio de Cirugía General y Digestivo A, Hospital Universitario de Canarias, Tenerife, España. 8. Servicio de Cirugía, Programa de Trasplante Hepático y Pancreático, Hospital Juan Canalejo, La Coruña, España; Departamento de Ciencias de la Salud, Universidad de Santiago de Compostela, Santiago de Compostela, España. 9. Hospital Universitario Marqués de Valdecilla, Santander, España. 10. Departamento de Cirugía, Universidad de Murcia, Murcia, España; Servicio de Cirugía, Hospital Virgen de la Arrixaca, Murcia, España. 11. Servicio de Cirugía General, Aparato Digestivo y Trasplante de Órganos Abdominales, Hospital Doce de Octubre, Madrid, España. 12. Servicio de Cirugía Hepato-Bilio-Pancreatica y Trasplante, Hospital Clínic, Barcelona, España.
Abstract
UNLABELLED: Technical failure in pancreas transplant has been the main cause of the loss of grafts. In the last few years, the number of complications has reduced, and therefore the proportion of this problem. OBJECTIVES: The Spanish Pancreas Transplant Group wanted to analyze the current situation with regard to surgical complications and their severity. MATERIAL AND METHODS: A retrospective and multicenter study was performed. 10 centers participated, with a total of 410 pancreas transplant recipients between January and December 2013. RESULTS: A total of 316 transplants were simultaneous with kidney, 66 after kidney, pancreas-only 10, 7 multivisceral and 11 retrasplants. Surgical complication rates were 39% (n=161). A total of 7% vascular thrombosis, 13% bleeding, 6% the graft pancreatitis, 12% surgical infections and others to a lesser extent. Relaparotomy rate was 25%. The severity of complications were of type IIIb (13%), type II (12%) and type IVa (8.5%). Graft loss was 8%. Early mortality was 0.5%. The percentage of operations for late complications was 17%. CONCLUSIONS: The number of surgical complications after transplantation is not negligible, affecting one in 3 patients. They are severe in one out of 5 and, in one of every 10 patients graft loss occurs. Therefore, there is still a significant percentage of surgical complications in this type of activity, as shown in our country.
UNLABELLED: Technical failure in pancreas transplant has been the main cause of the loss of grafts. In the last few years, the number of complications has reduced, and therefore the proportion of this problem. OBJECTIVES: The Spanish Pancreas Transplant Group wanted to analyze the current situation with regard to surgical complications and their severity. MATERIAL AND METHODS: A retrospective and multicenter study was performed. 10 centers participated, with a total of 410 pancreas transplant recipients between January and December 2013. RESULTS: A total of 316 transplants were simultaneous with kidney, 66 after kidney, pancreas-only 10, 7 multivisceral and 11 retrasplants. Surgical complication rates were 39% (n=161). A total of 7% vascular thrombosis, 13% bleeding, 6% the graft pancreatitis, 12% surgical infections and others to a lesser extent. Relaparotomy rate was 25%. The severity of complications were of type IIIb (13%), type II (12%) and type IVa (8.5%). Graft loss was 8%. Early mortality was 0.5%. The percentage of operations for late complications was 17%. CONCLUSIONS: The number of surgical complications after transplantation is not negligible, affecting one in 3 patients. They are severe in one out of 5 and, in one of every 10 patientsgraft loss occurs. Therefore, there is still a significant percentage of surgical complications in this type of activity, as shown in our country.