title: Cooperative Study of the Spanish Pancreas Transplant Group (GETP): Surgical Complications.
abstract: Technical failure in pancreas transplant has been the main cause of the loss of grafts. In the last few years, the number of complications has reduced, and therefore the proportion of this problem.
  
  
  OBJECTIVE
  The Spanish Pancreas Transplant Group wanted to analyze the current situation with regard to surgical complications and their severity.
  
  
  METHODS
  A retrospective and multicenter study was performed. 10 centers participated, with a total of 410 pancreas transplant recipients between January and December 2013.
  
  
  RESULTS
  A total of 316 transplants were simultaneous with kidney, 66 after kidney, pancreas-only 10, 7 multivisceral and 11 retrasplants. Surgical complication rates were 39% (n=161). A total of 7% vascular thrombosis, 13% bleeding, 6% the graft pancreatitis, 12% surgical infections and others to a lesser extent. Relaparotomy rate was 25%. The severity of complications were of type IIIb (13%), type II (12%) and type IVa (8.5%). Graft loss was 8%. Early mortality was 0.5%. The percentage of operations for late complications was 17%.
  
  
  CONCLUSIONS
  The number of surgical complications after transplantation is not negligible, affecting one in 3 patients. They are severe in one out of 5 and, in one of every 10 patients graft loss occurs. Therefore, there is still a significant percentage of surgical complications in this type of activity, as shown in our country.
authors: Unidad de Cirugía HPB y Trasplante, Servicio de Cirugía General, Hospital Universitari y Politècnic La Fe, Valencia, España. Electronic address: moya.ang@gmail.com.
authors: Angel
authors: A
authors: Moya-Herraiz
authors: Servicio de Cirugía, Hospital General Universitario, Salamanca, España.
authors: Luis
authors: L
authors: Muñoz-Bellvis
authors: Servicio de Cirugía Hepato-bilio-pancreática y Trasplante, ICMDiM, Hospital Clínic, Barcelona, España.
authors: Joana
authors: J
authors: Ferrer-Fábrega
authors: Servicio de Cirugía, Hospital Doce de Octubre, Madrid, España.
authors: Alejandro
authors: A
authors: Manrique Municio
authors: Servicio de Cirugía, Hospital Universitario Carlos Haya, Málaga, España.
authors: José Antonio
authors: JA
authors: Pérez-Daga
authors: Servicio de Cirugía, Hospital Universitario Reina Sofía, Córdoba, España.
authors: Cristóbal
authors: C
authors: Muñoz-Casares
authors: Servicio de Cirugía General y Digestivo A, Hospital Universitario de Canarias, Tenerife, España.
authors: Antonio
authors: A
authors: Alarcó-Hernández
authors: Servicio de Cirugía, Programa de Trasplante Hepático y Pancreático, Hospital Juan Canalejo, La Coruña, España; Departamento de Ciencias de la Salud, Universidad de Santiago de Compostela, Santiago de Compostela, España.
authors: Manuel
authors: M
authors: Gómez-Gutiérrez
authors: Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: Daniel
authors: D
authors: Casanova-Rituerto
authors: Departamento de Cirugía, Universidad de Murcia, Murcia, España; Servicio de Cirugía, Hospital Virgen de la Arrixaca, Murcia, España.
authors: Francisco
authors: F
authors: Sanchez-Bueno
authors: Servicio de Cirugía General, Aparato Digestivo y Trasplante de Órganos Abdominales, Hospital Doce de Octubre, Madrid, España.
authors: Carlos
authors: C
authors: Jimenez-Romero
authors: Servicio de Cirugía Hepato-Bilio-Pancreatica y Trasplante, Hospital Clínic, Barcelona, España.
authors: Laureano
authors: L
authors: Fernández-Cruz Pérez
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D055815:Young Adult
keywords: Absceso intraabdominal; Complicaciones quirúrgicas; Diabetes tipo 1; Fracaso técnico; Graft pancreatitis; Intraabdominal abscess; Pancreas graft thrombosis; Pancreas transplantation; Pancreatitis del injerto; Surgical complications; Technical failures; Trasplante de páncreas; Trombosis del injerto; Type 1 diabetes