Abstract:
BACKGROUND:Early and late complications related to the pancreas after simultaneous kidney-pancreas transplantation (SKPT) frequently result in graft loss. The authors describe a surgical rescue technique that allows salvage of the pancreatic graft when surgical complications appear after the transplant. METHODS:Of 158 patients who underwent SKPT, 7 were identified with posttransplant complications that required surgical salvage of the pancreas allograft. The surgical salvage technique consisted of the following: pancreatoduodenectomy with conversion from whole-pancreas transplant with bladder or enteric diversion to segmental graft with duct injection (three cases) and conversion from whole-pancreas transplant with duct injection (four cases). RESULTS:Five of seven pancreas allografts are still functioning, with a mean follow-up of 28 months (range, 6-42 months). CONCLUSION:The described surgical treatment may be useful for surgical salvage of the pancreatic allograft, without major impairment of endocrine function.
journal_name
Transplantationjournal_title
Transplantationauthors
Orsenigo E,Cristallo M,Socci C,Castoldi R,Fiorina P,Invernizzi L,Caldara R,Secchi A,Di Carlo Vdoi
10.1097/01.TP.0000041784.27763.A9subject
Has Abstractpub_date
2003-01-27 00:00:00pages
233-6issue
2eissn
0041-1337issn
1534-6080journal_volume
75pub_type
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