title: Kidney transplantation in patients with diabetes mellitus: surgical complications.
abstract: OBJECTIVE
  The aim of this study was to analyze the risk for surgical complications after kidney transplantation in patients with diabetes mellitus (DM) compared to patients without DM.
  
  
  METHODS
  Between January 2002 and December 2005 270 consecutive kidney transplantations from deceased donors in adult recipients were performed. Data of these patients were analyzed on the presence of DM. Recipients with DM (n=32) were compared with patients without DM (n=238) concerning delayed graft function, wound infections, urinary leakage, postoperative bleeding and urinary infections.
  
  
  RESULTS
  No statistically significant differences were found in the occurrence of delayed graft function, postoperative bleeding and urinary tract infections between both groups. Although the percentage of postoperative wound infections and urinary leakages was elevated in the DM group it was not statistical significant.
  
  
  CONCLUSIONS
  In patients with terminal kidney insufficiency the presence of DM type II is a frequent co-morbidity and is per se not a contraindication for kidney transplantation. Because of the elevated cardiovascular risk profile patients with DM have to be evaluated very diligent before being listed for kidney transplantation. Nevertheless beside the additional short term risk caused by kidney transplantation it is the only modifiable risk with possible long term reduction for these patients.
authors.affiliation: Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany.
authors.forename: Jürgen W
authors.initials: JW
authors.lastname: Treckmann
authors.forename: Andrej
authors.initials: A
authors.lastname: Goldenberg
authors.forename: Eugen
authors.initials: E
authors.lastname: Malamutmann
authors.forename: Oliver
authors.initials: O
authors.lastname: Witzke
authors.forename: Ioannis
authors.initials: I
authors.lastname: Fouzas
authors.forename: Andreas
authors.initials: A
authors.lastname: Paul
authors.forename: Georgios C
authors.initials: GC
authors.lastname: Sotiropoulos
mesh_terms: D003928:Diabetic Nephropathies / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology