title: [Surgical complications in combined transplantation of a kidney and a pancreatic segment with an obliterated duct].
abstract: The surgical aspect of transplantation of the pancreas is despite its many years' history still an unresolved problem. If we summarize contemporary knowledge and achieved results, it ensues that so far unity has not be attained as regards surgical tactics and technique of the operation. The authors submit an analysis of surgical complications after combined transplantation of a kidney and a pancreatic segment with an obliterated duct. In the group of 38 patients with transplantations the moc frequent cause of loss of function of the transplanted gland during the early postoperative period was vascular thrombosis of the pancreatic graft. Infectious complications, haemorrhage, necrosis of the graft and ileus were also described. Surgical complications developed in more than half the patients of the investigated group which made the authors contemplate a change of surgical technique and after experimental preparation transplant the entire gland with drainage of the pancreatic duct into the urinary bladder.
authors.affiliation: KKTCH IKEM, Praha.
authors.forename: M
authors.initials: M
authors.lastname: Adamec
authors.forename: I
authors.initials: I
authors.lastname: Vanĕk
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*
vernacular_title: Chirurgické komplikace po kombinované transplantaci ledviny a segmentu pankreatu s obliterovaným vývodem.