Cadaveric renal transplantation: surgical results and expectations in the cyclosporine era.
During a 36-month period 100 patients received 104 cadaveric renal transplants with cyclosporine-based immunosuppression. Of the patients 26 required 31 additional operations. Of the 19 secondary operations performed 1 month after transplantation 18 were emergency in nature, whereas beyond this period the majority of the procedures were elective. Both deaths in this series were related to the operation. Only 1 graft loss was directly attributed to a secondary operation. The patient undergoing cadaveric renal transplantation is at significant risk (25 per cent) of requiring at least 1 additional operation. However, despite this high probability of reoperation, graft loss and patient death after such procedures should be rare.
Koyle
M A
MA
Department of Surgery, Harbor/UCLA Medical Center, Torrance.
Ward
H J
HJ
Klein
S R
SR
Williams
R A
RA
White
G H
GH
Butler
J A
JA
Sender
M B
MB
Rajfer
J
J
D000328:Adult; D000368:Aged; D002102:Cadaver; D003524:Cyclosporins / Q000008:administration & dosage*; D005260:Female; D006085:Graft Survival / Q000187:drug effects; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation
D003524:Cyclosporins