Mogely Shalvovich Khubutia1, Alexey Valerjevich Pinchuk2, Ilya Victorovich Dmitriev3, Aslan Galievich Balkarov2, Roman Vasiljevich Storozhev2, Yury Andreevich Anisimov2. 1. Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia. 2. Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia; Department of Pancreas and Kidney Transplantation, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia. 3. Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia; Department of Pancreas and Kidney Transplantation, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia. Electronic address: dr.ildmi@gmail.com.
Abstract
BACKGROUND: We investigated the rate of early surgical complications after simultaneous pancreas-kidney transplantation (SPKT) and their impact on both grafts and recipient survival. MATERIALS AND METHODS: The retrospective analysis of typical pancreas-related complications, different methods of correction, and their efficacy were performed. Data describing pancreas transplant recipients were drawn from our SPKT waiting list. RESULTS: The overall surgical complications rate was 37.5%. The 1-year pancreas graft survival was 82.5% and 1-year recipient survival was 90%. Surgical complications based on the graft loss rate did not exceed 2.5%. Direct surgical complications did not account for the loss of a single patient. CONCLUSION: We conclude that the high rate of surgical complications is a major obstacle to widespread application of pancreas transplantation; early recognition and appropriate treatment of graft-related complications is fundamental for graft survival.
BACKGROUND: We investigated the rate of early surgical complications after simultaneous pancreas-kidney transplantation (SPKT) and their impact on both grafts and recipient survival. MATERIALS AND METHODS: The retrospective analysis of typical pancreas-related complications, different methods of correction, and their efficacy were performed. Data describing pancreas transplant recipients were drawn from our SPKT waiting list. RESULTS: The overall surgical complications rate was 37.5%. The 1-year pancreas graft survival was 82.5% and 1-year recipient survival was 90%. Surgical complications based on the graft loss rate did not exceed 2.5%. Direct surgical complications did not account for the loss of a single patient. CONCLUSION: We conclude that the high rate of surgical complications is a major obstacle to widespread application of pancreas transplantation; early recognition and appropriate treatment of graft-related complications is fundamental for graft survival.