Surgical complications after simultaneous pancreas-kidney transplantation: A single-center experience

Asian J Surg. 2016 Oct;39(4):232-7. doi: 10.1016/j.asjsur.2015.11.003. Epub 2016 Feb 5.

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.

Keywords: outcomes; pancreas graft survival; pancreas transplantation; recipient survival rate; surgical complications.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Graft Survival*
  • Humans
  • Kidney Transplantation / mortality*
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Pancreas Transplantation / mortality*
  • Postoperative Complications / epidemiology*
  • Retrospective Studies
  • Young Adult