Kidney transplantation in Georgia: a single centre experience with living-related donors.
37 patients underwent living donor kidney Tx at the National Centre of Urology from January 2000 to December 2007. All transplants were performed from genetically related donors. The mean follow-up was 29,5 months. The following parameters were analysed: early and late posttransplant complications, rejection rate, the most recent Cr, patient and graft survival rates. Haemorrhage (5.4%), gastro-intestinal bleeding (10.8%) and graft thrombosis (5.4%) were the most important early complications. 6 (16.2%) episodes of acute cellular rejection were detected of whom 5 were treated successfully with bolus steroids. Two (5.4%) patients developed delayed graft function and needed postoperative dialyses. The mean value of the most recent serum Cr level is 1.6+/-1.1 g/dl (range: 0.7-6.2 g/dl). 1, 2 and 3 year patient survival for the whole group was 89.2%. 1, 2 and 3 year graft survival for the whole group was 89.2%, 83% and 83%, respectively. The mortality rate associated with kidney Tx has decreased from 38% in 1995-2000, to 5.4% in 2000-2007. The results of kidney Tx can achieve the acceptable level with improving surgical technique and experience. The pool of living-unrelated (spouses etc.) donors should be wider used to increase the number of transplants.
Chkhotua
A
A
National Centre of Urology, Department of Urology.
Maglakelidze
N
N
Managadze
L
L
D000328:Adult; D002391:Catchment Area, Health; D005260:Female; D005846:Georgia (Republic) / Q000453:epidemiology; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D019520:Living Donors / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged