title: [Perioperative management of multiorgan transplantation].
abstract: OBJECTIVE
  To summarize the experience with perioperative management of multiorgan transplantation.
  
  
  METHODS
  From October 2001 to January 2005, 19 patients received multiorgan transplantation in Nanfang Hospital, including 6 with simultaneous kidney-pancreas transplantation (SKPT), 12 with combined liver-kidney transplantation (CLKT), and 1 with simultaneous liver-pancreas transplantation (SLPT). The surgical techniques, application of immunosuppressants, and complication management were reviewed.
  
  
  RESULTS
  All transplantation procedures were performed successfully. The transplantation-related complications included tacrolimus-induced renal toxicosis in 1 (5.3%) case, acute graft rejection in 3 (15.8%) cases, intestinal hemorrhage in 2 (10.5%) cases, intra-abdominal hemorrhage in 1 (5.3%) case, and lung infection in 1 (5.3%) case, all of which were cured after proper treatment.
  
  
  CONCLUSIONS
  Donor selection, good quality of the donor organ, proper surgical approaches, adequate use of the-mmunosuppressants, and prevention of complications are essential to the success of multiorgan transplantation.
authors.affiliation: Center of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
authors.forename: Li-Xin
authors.initials: LX
authors.lastname: Yu
authors.forename: Jun-Sheng
authors.initials: JS
authors.lastname: Ye
authors.forename: Wen-Feng
authors.initials: WF
authors.lastname: Deng
authors.forename: Jian
authors.initials: J
authors.lastname: Xu
authors.forename: Shao-Jie
authors.initials: SJ
authors.lastname: Fu
authors.forename: Gui-Rong
authors.initials: GR
authors.lastname: Ye
authors.forename: Chuan-Fu
authors.initials: CF
authors.lastname: DU
authors.forename: Yi-Bin
authors.initials: YB
authors.lastname: Wang
authors.forename: Xiao-You
authors.initials: XY
authors.lastname: Liu
authors.forename: Yun
authors.initials: Y
authors.lastname: Miao
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D016030:Kidney Transplantation / Q000379:methods; D016031:Liver Transplantation / Q000379:methods; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000379:methods; D011182:Postoperative Care
chemical_list: D007166:Immunosuppressive Agents