The clinical experience of simultaneous combined liver-kidney transplantation after liver/kidney transplantation
10.3760/cma.j.issn.0254-1785.2010.09.006
- VernacularTitle:肝或肾移植术后受者再次行一期肝肾联合移植三例报告
- Author:
Tong ZHANG
;
Binsheng FU
;
Genshu WANG
;
Shuhong YI
;
Huimin YI
;
Chi XU
;
Yang YANG
;
Changjie CAI
;
Minqiang LU
;
Guihua CHEN
- Publication Type:Journal Article
- Keywords:
Organ transplantation;
Liver;
Kidney
- From:
Chinese Journal of Organ Transplantation
2010;31(9):534-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the indications, complication and survival of combined liver-kidney transplantation (CLKTs) after liver/kidney transplantation. Methods From Oct. 2003 to Dec. 2008, the clinical data of 3 patients who underwent CLKTs after liver/kidney transplantation were retrospectively followed up and literature was reviewed at our institution. The perioperative mortality, post-operative complications, survival were analyzed. Results The perioperative mortality of patients with CLKTs was 1/3. The postoperative complications: one patient with massive abdominal bleeding died of pulmonary infection, acute renal failure of graft, multiple organ failure on the 29th day after operation; 3 patients with pulmonary infection; no acute rejection of the graft. Two of 3 patients survived 56 months, 228 months from primary transplantation, respectively, while survived 40 months, 48 months from CLKTs, respectively. Conclusion CLKTs is only radical treatment method for patients with end-stage liver disease and end-stage kidney disease. CLKTs after liver/kidney transplantation were feasible.