Surgical procedures not connected with transplantation in patients after kidney or kidney and pancreas transplant with stable function of graft.
The aim of the study was to evaluate complication during and after surgical procedure without connection with transplantation among patients after kidney, kidney and pancreas transplantation with stable function of graft.


METHODS
54 patients underwent 62 surgical procedures without connection with transplantation procedure. Main characteristic: standard immunosuppressive treatment, main age 51.1±13.95 years, men 77.4%, hospitalization time 5.27±3.31 day, group 1 - 55 procedures among patients after kidney transplantation, group 2 - 7 procedure among patients after kidney and pancreas transplantation.


RESULTS
Procedures from general surgery comprised 60% [cholecystectomy 19 (51%), left hemicolectomy 1 (3%), esophagus removal 1 (3%), hernia repair 8 (22%), nefrectomy 3 (8%), pancreas transplantation in patients with functional renal graft 1 (3%), laparotomy 4 (11%), vascular surgery 27% (correction of arteriovenosus fistula 13 (76%), by-pass surgery 1 (6%), embolectomy 1 (6%), implantation of aortal - iliac stentgraft 1 (6%), surgery of iliac artery 1 (6%)]. There has been no difference between parameters measured before and after procedure: creatinine (p=0.93), GFR (p=0.07), urea (p=0.25), glycaemia (p=0.322), glycated hemoglobin (p=0.3), C-peptide (p=0.3). In both groups were no differences in levels of creatinine (p=0.78) and urea (p=0.23), measured in the next years after surgical procedure. Mortality 0%, lost of graft 0%, in - hospital morbidity 10 (16.2%) (hematoma 1.6%, endocavitary electrode 1.6%, wound healing defect 16.2%). Morbidity in group 1 - 12.7%, group 2 - 48.8%, p=0.04.


CONCLUSIONS
Surgical procedures performed in a specialist center do not impaire prognosis of patients with stable function of graft, after kidney, kidney and pancreas transplantation.
Department of Gastroenterological Surgery and Transplantation, Central Hospital of Internal Affairs and Administration Ministry in Warsaw.
Bernadetta
B
Kałuża
Ireneusz
I
Ziobrowski
Marek
M
Durlik
D000328:Adult; D001164:Arteriovenous Fistula / Q000453:epidemiology / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000706:statistics & numerical data; D015984:Causality; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data; D013505:Digestive System Surgical Procedures / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D059685:Herniorrhaphy / Q000706:statistics & numerical data; D006801:Humans; D007165:Immunosuppression Therapy / Q000706:statistics & numerical data*; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology; D009392:Nephrectomy / Q000706:statistics & numerical data; D016035:Pancreas Transplantation / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology*