12 November 2014 : Original article
Simultaneous Pancreas and Kidney Composite Graft Transplantation with Retroperitoneal Systemic-Enteric Drainage
Shinichiro OnoABCDEF, Tamotsu KurokiEF, Amane KitazatoF, Tomohiko AdachiF, Yin-Yin ChenEF, Shin-Chin ChenF, Susumu EguchiEF, Yi-Ming ShyrABCDEF, Shin-E WangABCDEFDOI: 10.12659/AOT.891350
Ann Transplant 2014; 19:586-590
Abstract
BACKGROUND: Simultaneous pancreas and kidney transplantation is the treatment of choice for diabetes mellitus patients with associated end-stage renal disease. Limited vascular access could be encountered in patients with severe atherosclerosis, and/or severe obesity and in re-transplant patients. We describe a modified technique that facilitates simultaneous pancreas and kidney (SPK) composite graft transplantation with retroperitoneal systemic-enteric drainage for patients with limited vascular access.
MATERIAL AND METHODS: Since April 2012, we performed a modified technique for 2 patients with limited vascular access. SPK composite graft was constructed during the back-table preparation and transplanted in the right retroperitoneal space, finally covered by the ascending colon and its mesocolon.
RESULTS: The 2 patients achieved good pancreas grafts function with normal blood glucose immediately after the completion of reperfusion. Their kidney grafts have also shown good function. They have not had any rejection episodes or postoperative complications after the SPK composite graft transplantation.
CONCLUSIONS: We propose that simultaneous pancreas and kidney composite graft transplantation with retroperitoneal systemic-enteric drainage can be a viable option for patients with limited vascular access.
Keywords: Kidney Transplantation, Pancreas Transplantation, Retroperitoneal Space
In Press
Case report
Pulmonary Embolism Following Living Donor Hepatectomy: A Report of 4 Cases and Literature ReviewAnn Transplant In Press; DOI: 10.12659/AOT.946752
Most Viewed Current Articles
03 Jan 2023 : Original article 6,527
Impact of Autologous Stem Cell Transplantation on Primary Central Nervous System Lymphoma in First-Line and...DOI :10.12659/AOT.938467
Ann Transplant 2023; 28:e938467
15 Aug 2023 : Review article 6,222
Free-Circulating Nucleic Acids as Biomarkers in Patients After Solid Organ TransplantationDOI :10.12659/AOT.939750
Ann Transplant 2023; 28:e939750
16 May 2023 : Original article 6,152
Breaking Antimicrobial Resistance: High-Dose Amoxicillin with Clavulanic Acid for Urinary Tract Infections ...DOI :10.12659/AOT.939258
Ann Transplant 2023; 28:e939258
17 Jan 2023 : Original article 5,279
Non-Cryopreserved Peripheral Blood Stem Cell Graft for Autologous Hematopoietic Stem Cell Transplantation i...DOI :10.12659/AOT.938595
Ann Transplant 2023; 28:e938595