Ipsilateral placement of simultaneous pancreas and kidney allografts.
Publication/Presentation Date
10-15-2004
Abstract
The current standard technique for simultaneous kidney pancreas transplantation usually involves transplanting the pancreas to the right and the kidney to the left iliac system. Here we describe a previously unreported technique where both organs are transplanted to the right iliac system through a single midline incision. Forty-nine patients underwent simultaneous ipsilateral pancreas and kidney transplantation. All pancreas grafts were drained enterically. Overall patient, pancreas, and kidney survival were 96% (47/49), 92% (45/49), and 94% (46/49) respectively. The 45 patients with functioning grafts are insulin free and off of dialysis. Mean serum creatinine at 1, 3, 6, and 12 months was 1.7+/-1.3, 1.2+/-0.3, 1.3+/-0.3, and 1.3+/-0.4 mg/dL, respectively. The placement of the pancreas and kidney transplants on the same side is safe and does not compromise patient or graft survival. This approach preserves the left iliac system for future retransplantation if necessary.
Volume
78
Issue
7
First Page
1074
Last Page
1076
ISSN
0041-1337
Published In/Presented At
Fridell, J. A., Shah, A., Milgrom, M. L., Goggins, W. C., Leapman, S. B., & Pescovitz, M. D. (2004). Ipsilateral placement of simultaneous pancreas and kidney allografts. Transplantation, 78(7), 1074–1076. https://doi.org/10.1097/01.tp.0000135461.16794.4d
Disciplines
Medicine and Health Sciences
PubMedID
15480177
Department(s)
Department of Surgery
Document Type
Article