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‘ workplace:
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:
Rozhl. Chir., 2017, roč. 96, č. 7, s. 291-295.
Category:
Original articles
Overview
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
Sources
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2017 Issue 7
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