Living relative donor renal transplantation:Report of 19 cases
- VernacularTitle:活体亲属肾移植19例报告
- Author:
Chaolong MA
;
Zequan DONG
;
Zhong ZENG
- Publication Type:Journal Article
- Keywords:
Living relative donor;
Kidney transplantation
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience of living relative donor kidney transplantation.Methods A retrospective analysis on 19 cases of living relative donor kidney transplantation from February 2002 to May 2006 was carried out.Results No blood transfusion was needed and no serious postoperative complications occurred in donors.The 19 donors were discharged from hospital at 7~10 days postoperatively.Follow-up examinations for 1~51 months(mean,28 months)in the 19 donors revealed normal liver and renal functions.Among the 19 recipients,follow-up examinations for 1~51 months(mean,28 months)showed that the renal functions recovered in 3~5 postoperative days in 16 recipients and within 3 weeks after transplantation in 3.Acute rejection occurred in 2 recipients postoperatively,and was reversed by steroid pulse therapy in 1 recipient and by ALG treatment for 10 days in 1 recipient,in whom the hormone pulse therapy was invalid.The hormone treatment was needed for only 3 weeks in a renal transplantation between monozygotic twins,without using other immunosuppressors,and no acute rejection occurred.Two patients with an uneventful recovery developed an acute rejection because of voluntary decrement and even stopping of immunosuppressor after 6 months,and then was treated with hormone pulse treatment until a reversion.The 1-year survival rate for patient/kidney was 100%.Conclusions Living relative donor renal transplantation is safe and feasible,offering a high survival rate for patient/kidney.