title: Concurrent unilateral or bilateral native nephrectomy in kidney transplant recipients.
abstract: BACKGROUND
  The aim of this study is to present results of patients who have undergone renal transplantation concurrent with bilateral or unilateral native nephrectomy, with a special focus on polycystic kidney disease (PKD).
  
  
  METHODS
  We presented the outcome of renal transplantation patients who have undergone native nephrectomy unilaterally (n=38) and bilaterally (n=125) and compared the results of patients with PKD and other nephrectomy indications.
  
  
  RESULTS
  Overall graft survival in the 1st, 3rd, and 5th years were 93%, 90%, and 89%, respectively, in transplantation with concomitant nephrectomy patients. Overall patient survival in the 1st, 3rd, and 5th years were 97%, 94%, and 94%, respectively. Overall surgical complications rate was 17.7% and medical complication rate was 19%. Patients with PKD had more frequent complications.
  
  
  CONCLUSIONS
  Despite additional surgery, the long-term results of patients with complications were not affected negatively by early diagnosis and treatment. We believe that native nephrectomy concurrent with transplantation can be successfully performed when indicated in selected patients at experienced centers.
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Ayhan
authors.initials: A
authors.lastname: Dinckan
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Kocak
authors.affiliation: Department of Surgery, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Tekin
authors.affiliation: Department of Surgery, Karadeniz Technical University Medical Faculty, Trabzon, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Turkyilmaz
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Necmiye
authors.initials: N
authors.lastname: Hadimioglu
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Zeki
authors.initials: Z
authors.lastname: Ertug
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Filiz
authors.initials: F
authors.lastname: Gunseren
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Ari
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Dinc
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Alihan
authors.initials: A
authors.lastname: Gurkan
authors.affiliation: Organ Transplantation Institute, Akdeniz University, Antalya, Turkey.
authors.forename: Selcuk
authors.initials: S
authors.lastname: Yucel
mesh_terms: D000328:Adult; D005260:Female; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D007690:Polycystic Kidney Diseases / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome