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Importance of technical aspects in the beginnings of a pancreas transplantation program.

Abstract：

:Pancreas and kidney transplantation is the treatment of choice for patients with type 1 diabetes mellitus and terminal renal insufficiency. Herein we have presented a series of 35 patients transplanted between 2002 and 2009 including periods before and after 2007 divided based on introduction of some technical aspects. In the first phase (learning period) we have noted complications related to pancreatic surgery with a morbidity among 12 of 18 patients (66.6%). In the second period (stabilization period), complications appeared in 6 out of 17 patients (35.2%; P < .028). The reoperation rate was 83.3% in the learning period and 23.5% in the stabilization period (P < .03). Seven transplantectomies were performed in the first period (P < .004). Five patients died, all of them in the learning group (P < .019). Changes in the technical aspects of the procedure were responsible for improved outcomes obtained among pancreas and kidney transplantations.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Moya Herraiz A,Merino Torres JF,Sánchez Plumed J,Montalvá Orón E,Pareja Ibars E,López Andújar R,San Juan Rodríguez F,De Juan Burgueño M,Torres-Quevedo R,Argente Pla M,Sosa Quesada Y,Mir Pallardó J

doi

10.1016/j.transproceed.2009.12.001

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

317-8

issue

1

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(09)01755-2

journal_volume

42

pub_type

杂志文章

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