title: Kidney transplantation in Georgia: a single centre experience with living-related donors.
abstract: 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.
authors.affiliation: National Centre of Urology, Department of Urology.
authors.forename: A
authors.initials: A
authors.lastname: Chkhotua
authors.forename: N
authors.initials: N
authors.lastname: Maglakelidze
authors.forename: L
authors.initials: L
authors.lastname: Managadze
mesh_terms: 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