Jump to ContentJump to Main Navigation
Show Summary Details

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

SCImago Journal Rank (SJR) 2015: 0.214
Source Normalized Impact per Paper (SNIP) 2015: 0.336
Impact per Publication (IPP) 2015: 0.443

Open Access
See all formats and pricing

Select Volume and Issue


Surgical Procedures Not Connected with Transplantation in Patients After Kidney or Kidney and Pancreas Transplant with Stable Function of Graft

Bernadetta Kałuża1 / Ireneusz Ziobrowski1 / Marek Durlik1

Department of Gastroenterological Surgery and Transplantation, Central Hospital of Internal Affairs and Administration Ministry in Warsaw1

This content is open access.

Citation Information: Polish Journal of Surgery. Volume 84, Issue 4, Pages 196–201, ISSN (Print) 0032-373X, DOI: 10.2478/v10035-012-0032-1, June 2012

Publication History

Published Online:

Surgical Procedures Not Connected with Transplantation in Patients After Kidney or Kidney and Pancreas Transplant with Stable Function of Graft

The aim of the study was to evaluate complication during and after surgical procedure without connection with transplantation among patients after kidney, kidney and pancreas transplantation with stable function of graft.

Material and methods. 54 patients underwent 62 surgical procedures without connection with transplantation procedure. Main characteristic: standard immunosuppressive treatment, main age 51.1±13.95 years, men 77.4%, hospitalization time 5.27±3.31 day, group 1 - 55 procedures among patients after kidney transplantation, group 2 - 7 procedure among patients after kidney and pancreas transplantation.

Results. Procedures from general surgery comprised 60% [cholecystectomy 19 (51%), left hemicolectomy 1 (3%), esophagus removal 1 (3%), hernia repair 8 (22%), nefrectomy 3 (8%), pancreas transplantation in patients with functional renal graft 1 (3%), laparotomy 4 (11%), vascular surgery 27% (correction of arteriovenosus fistula 13 (76%), by-pass surgery 1 (6%), embolectomy 1 (6%), implantation of aortal - iliac stentgraft 1 (6%), surgery of iliac artery 1 (6%)]. There has been no difference between parameters measured before and after procedure: creatinine (p=0.93), GFR (p=0.07), urea (p=0.25), glycaemia (p=0.322), glycated hemoglobin (p=0.3), C-peptide (p=0.3). In both groups were no differences in levels of creatinine (p=0.78) and urea (p=0.23), measured in the next years after surgical procedure. Mortality 0%, lost of graft 0%, in - hospital morbidity 10 (16.2%) (hematoma 1.6%, endocavitary electrode 1.6%, wound healing defect 16.2%). Morbidity in group 1 - 12.7%, group 2 - 48.8%, p=0.04.

Conclusions. Surgical procedures performed in a specialist center do not impaire prognosis of patients with stable function of graft, after kidney, kidney and pancreas transplantation.

Keywords: kidney transplantation; kidney and pancreas transplantation; complication

  • Yannam GR, Gutti TL, High R et al.: Experience of laparoscopic incisional hernia repair in kidney and/or pancreas transplant recipients. Am J Transplant 2011; 11: 279-86. [Crossref]

  • Sianesi M, Capocasale E, Ferreri G et al.: The role of cholecystectomy in renal transplantation. Transplant Proc 2005; 37: 2129-30. [Crossref]

  • Kieszek R, Wszoła M, Domagała P i wsp.: Aktualne trendy w leczeniu przepukliny pooperacyjnej po przeszczepieniu nerki. Pol Merk Lek 2010; 169: 50-53.

  • Schäffer M, Wunsch A, Michalski S et al.: Morbidity and mortality of kidney and pancreas transplantation. Analysis of 810 transplantations at one center. Dtsch Med Wochrndchr 2007; 132: 2318-22. [Web of Science]

  • Espejo B, Torres A, Valentin et al.: Obesity favors surgical infectious complication after renal transplantation. Transplant Proc 2003; 35: 1762-63. [Crossref]

  • Durlik M: Nowotwory u biorców przeszczepu nerkowego - rola zakażeń wirusowych I lecczenia immunosupresyjnego. Postępy Nauk Med. 2009; 10: 827-33.

  • Durlik M, Klinger M, Lao M et al.: Leczenie immunosupresyjne po przeszczepieniu nerki. In: Durlik M, Rowiński W (ed.) Zalecenia dotyczące leczenia immunosupresyjnego po przeszczepieniu narządów unaczynionych. Warszawa: Fundacja Zjednoczeni dla Transplantacji; 2010; pp. 18-20.

  • Baca B, Ozben V, Boler D et al.: Effect of corticosteroid dose and duration of administration on colonic anastamosis. Inflamm Bovel Dis 2010; 16: 2162-67. [Web of Science]

  • Grochowiecki T, Wyzgał J, Gałązka Z et al.: A retrospective study of steroid elimination in simultaneous pancreas and preemptive kidney transplant (sppre - ktx) recipients. Ann Transplantation 2006; 11: 41-43.

  • van Petersen AS, van der Pijl HW, Ringers J et al.: Gall-stone formation after pancreas and/or kidney transplantation: an analysis of risk factors. Clin Transplant 2007; 21: 651-58. [Crossref]

  • Bednarek M, Budzyński A, Rembiasz K i wsp.: Wycięcie pęcherzyka żółciowego metodą laparoskopową po przeszczepieniu nerki - doświadczenia własne. Nefrol Dial Pol 2009; 13: 22-25.

  • Kao LS, Flowers C, Flum DR: Prophylactic cholecystectomy in transplant patients: a decision analysis. J Gastrointest Surg 2005; 9: 965-72. [Crossref]

  • Banli O, Guvence N, Altun H: Laparoscopic cholecystectomy for renal transplants. Transplant Proc 2005; 37: 2127-28. [PubMed] [Crossref]

  • Sariko S, Salmela K, Kyllönem L et al.: Complication of gallstone disease in kidney transplantation patients. Nephrol Dial Transplant 2007; 22: 886-90.

  • Chang EI, Galvez MG, Padilla BE et al.: Ten - year retrospective analysis of incisional herniorrhaphy following renal transplantation. Arch Surg 2011; 146: 21-25. [Web of Science]

  • Gao Z, Zhao J, Sun D et al.: Renal paratransplant hernia: a surgical complication of kidney transplantation. Lagenbecks Arch Surg 2011; 396: 403-06. [Web of Science]

  • Piros L, Máthé Z, Földes K et al.: Incisional hernia after simultaneous pancreas kidney transplantation: a single - center experience from budapest. Transplant Proc 2011; 43: 1303-05. [Crossref]

  • Januczek D, Litarski A, Merenda M i wsp.: Zastosowanie siatek syntetycznych w leczeniu przepuklin brzusznych. Polimery w Medycynie 2011; 13: 13-18.

  • Lam W, Betal D, Morsy M et al.: Enormous brachio - cephalic arteriovenous fistula aneurysm after renal transplantation case report and review of the literature. Nephral Dial Transplant 2009; 24: 3542-44. [Web of Science]

  • Euqster T, Wigger P, Bölter S et al.: Brachial artery dilatation after arteriovenous fistulae in patients after renal transplantation: a 10 - year follow - up with ultrasound scan. J Vasc Surg 2003; 37: 364-67.

  • Qureshi YA, Strauss DC, Thway K et al.: Angiosarcoma developing in a non - functioning arteriovenous fistula post - renal transplant. J Surg Oncol 2010; 101: 520-23. [Web of Science]

Comments (0)

Please log in or register to comment.