title: Surgical complications after simultaneous pancreas-kidney transplantation: A single-center experience.
abstract: BACKGROUND
  We investigated the rate of early surgical complications after simultaneous pancreas-kidney transplantation (SPKT) and their impact on both grafts and recipient survival.
  
  
  METHODS
  The retrospective analysis of typical pancreas-related complications, different methods of correction, and their efficacy were performed. Data describing pancreas transplant recipients were drawn from our SPKT waiting list.
  
  
  RESULTS
  The overall surgical complications rate was 37.5%. The 1-year pancreas graft survival was 82.5% and 1-year recipient survival was 90%. Surgical complications based on the graft loss rate did not exceed 2.5%. Direct surgical complications did not account for the loss of a single patient.
  
  
  CONCLUSIONS
  We conclude that the high rate of surgical complications is a major obstacle to widespread application of pancreas transplantation; early recognition and appropriate treatment of graft-related complications is fundamental for graft survival.
authors: Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia.
authors: Mogely Shalvovich
authors: MS
authors: Khubutia
authors: Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia; Department of Pancreas and Kidney Transplantation, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia.
authors: Alexey Valerjevich
authors: AV
authors: Pinchuk
authors: Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia; Department of Pancreas and Kidney Transplantation, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia. Electronic address: dr.ildmi@gmail.com.
authors: Ilya Victorovich
authors: IV
authors: Dmitriev
authors: Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia; Department of Pancreas and Kidney Transplantation, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia.
authors: Aslan Galievich
authors: AG
authors: Balkarov
authors: Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia; Department of Pancreas and Kidney Transplantation, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia.
authors: Roman Vasiljevich
authors: RV
authors: Storozhev
authors: Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia; Department of Pancreas and Kidney Transplantation, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia.
authors: Yury Andreevich
authors: YA
authors: Anisimov
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D016035:Pancreas Transplantation / Q000401:mortality*; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D055815:Young Adult
keywords: outcomes; pancreas graft survival; pancreas transplantation; recipient survival rate; surgical complications