title: Study of Cadaveric Kidney Transplantation: A Single Center Experience.
abstract: BACKGROUND
  To increase the number of cadaveric kidney transplants in Japan, it is necessary to proactively perform transplantation from marginal donors. We had the opportunity to frequently perform kidney transplantation from expanded-criteria donors (ECDs), and it is anticipated that there will be increases in the number of ECD kidney transplants.
  
  
  METHODS
  In our institution, 18 patients underwent cadaveric kidney transplantation from January 2001 to December 2011. Sixteen of those patients were classified into 2 groups according to donation after brain death (BD) or after cardiac death (CD). We also classified donors as ECDs or standard-criteria donors (SCDs).
  
  
  RESULTS
  Kidney graft survival and engraftment were observed in all of the patients. Renal function at 1 year after transplantation was significantly better in the BD group than in the CD group. However, there was no significant difference between the groups in renal function at 3 and 5 years. Renal function at 1 and 3 years after transplantation was significantly better in the SCD group than in the ECD group, but there was no difference in renal function between the SDC and ECD groups at 5 years.
  
  
  CONCLUSIONS
  The results were good for all of the patients. There are many reports that graft survival rate at 3-5 years after transplantation from ECDs is poorer than from SCDs. However, no statistically significant difference was found in kidney function at ≥5 years between the ECD and SCD groups in our patients.
authors.affiliation: Department of Digestive and Transplantation Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan. Electronic address: yukihara7@hotmail.co.jp.
authors.forename: Y
authors.initials: Y
authors.lastname: Kihara
authors.affiliation: Department of Digestive and Transplantation Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
authors.affiliation: Department of Digestive and Transplantation Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Yokoyama
authors.affiliation: Department of Digestive and Transplantation Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.
authors.forename: O
authors.initials: O
authors.lastname: Konno
authors.affiliation: Department of Digestive and Transplantation Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Iwamoto
authors.affiliation: Department of Digestive and Transplantation Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kawachi
mesh_terms: D000328:Adult; D000368:Aged; D001926:Brain Death; D002102:Cadaver; D003643:Death; D005260:Female; D006085:Graft Survival; D006801:Humans; D007564:Japan; D007668:Kidney / Q000503:physiopathology; D016030:Kidney Transplantation / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D015996:Survival Rate; D013997:Time Factors; D014019:Tissue Donors / Q000145:classification* / Q000600:supply & distribution; D020858:Tissue and Organ Harvesting / Q000379:methods; D016896:Treatment Outcome