The Operative Mortality in Renal Transplant and Dialysis Patient for End-Stage Renal Disease Undergoing Major Abdominal Surgery.
- Author:
Yong Gui KIM
1
;
Jung Il PARK
;
In Sung MOON
;
Yong Bok KOH
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. kygkyg@cmc.cuk.ac.kr
- Publication Type:Original Article
- Keywords:
Abdominal surgery;
Renal transplantation;
Dialysis
- MeSH:
Adhesives;
Cause of Death;
Dialysis*;
Disseminated Intravascular Coagulation;
Emergencies;
Heart Failure;
Hemorrhage;
Humans;
Ileus;
Kidney Failure, Chronic*;
Kidney Transplantation;
Mortality*;
Pneumonia;
Sepsis;
Transplants
- From:The Journal of the Korean Society for Transplantation
2001;15(1):47-50
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: There are steadily increasing number of patients with end-stage renal disease in dialysis and renal transplants. A few reports described the outcome of patients in dialysis those undergoing major abdominal surgery, but in renal transplants such a report has not been reported. METHODS: We reviewed 43 patients who underwent major abdominal surgery including 22 patients undergoing dialysis (dialysis group), 7 patients undergoing dialysis with rejected renal transplants (rejected group), and 14 renal transplant with graft function (transplanted group). RESULTS: Emergency operation was performed in 24 (55.8%) patients : 12 in dialysis group, 5 in rejected group, and 7 in transplanted group, The indication of surgery included malignant disease in 16 (37.2%), bowel perforation in 9 (20.9%), adhesive ileus in 5 (11.6%), gastrointestinal bleeding in 4 (9.3%) and etc. The operative mortality rate was 25.6% (11/43) and developed all in emergency surgery including 2 in dialysis group (9.1% : 2/22), 4 in rejected group (57.1% : 4/11), and 5 in transplanted group (35.7% : 5/14). The most common diseases in operative mortality cases were bowel perforation in 4 and gastrointestinal bleeding in 3, The cause of death were sepsis in 5, and, pneumonia, heart failure, and disseminated intravascular coagulation in 2, respectively. CONCLUSION: The emergency major abdominal surgery in patients with renal transplantation and with rejected renal transplantation patients has high operative mortality rates than that of dialysis patients.
