Pancreas retransplantation: Outcomes of 20 cases

被引：14

作者：

Genzini, T. ^{[1
]}

Crescentini, F. ^{[1
]}

Torricelli, F. C. M. ^{[1
]}

Antunes, I. ^{[1
]}

Hayashi, A. ^{[1
]}

Kim, N. J. ^{[1
]}

Belieacqua, E. R. ^{[1
]}

Noujaim, H. ^{[1
]}

de Sa, J. R. ^{[1
]}

Perosa, M. ^{[1
]}

机构：

[1] Albert Einstein Hosp, HEPATO, Hepatol & Organ Transplantat Dept, Sao Paulo, Brazil

来源：

TRANSPLANTATION PROCEEDINGS | 2006年 / 38卷 / 06期

关键词：

D O I：

10.1016/j.transproceed.2006.06.055

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The objective of this paper was to evaluate our initial experience with pancreas retransplantation. From January 26, 1996 to February 2005, 285 pancreas transplantations were performed, including 20 (7%) retransplants. The causes of primary graft loss were graft thrombosis in 11 (55%, 7 venous and 4 arterial); 4 (20%) chronic rejections; 2 (10%) ischemia/reperfusion injury; 1 severe graft pancreatitis; 1 primary nonfunction; and 1 sepsis. Venous drainage was placed in the iliac vessels in 14 (70%), vena-cava in 5 (25%), and portal drainage in 1. The exocrine drainage was vesical in 16 (80%) and enteric in 4 (20%). In 14 cases (70%), the primary graft was removed before and in 6 (30%) at the time of retransplantation. Immunosuppression was based on antilymphocyte induction, tacrolimus, mycophenolate mofetil, and steroids in all patients. One-year patient and graft survivals were 95% and 85%. In conclusion, pancreas retransplants were feasible with results comparable to a primary pancreas transplantation.

引用

页码：1937 / 1938

页数：2

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