title: Usefulness of Modified Dindo-Clavien Scale to Evaluate the Correlation Between the Severity of Surgical Complications and Complications Related to the Renal and Pancreatic Grafts After Simultaneous Kidney and Pancreas Transplantation.
abstract: OBJECTIVE
  Simultaneous pancreas and kidney transplantation (spktx) is the multiorgan transplantation. Thus various complications originated from transplanted organs and the complications that are not directly related to pancreatic or renal grafts could be developed at the same recipient.
  
  
  OBJECTIVE
  The aim of this study is to explore whether there is a correlation between the severity of complications originated from transplanted pancreas, transplanted kidney and general surgical complication developed at the same spktx recipient.
  
  
  METHODS
  Complications which developed among 112 spktx recipients were divided into three groups: related to the pancreatic graft (PTXc), to the renal graft (KTXc) and the general surgical complication (GNc). Severity of postoperative complications using modified Dindo-Clavien scale recipients was evaluated for each group. The correlation of severity of coexisting complications from different complication groups was analyzed.
  
  
  RESULTS
  There were 22 recipients who developed the coexistence of complication between different complication groups. Complication originated from two and three complication groups developed 15 (68.2%) and 7 (31.8%) patients, respectively. There was not found correlation of the complication severity between: KTXc and GNc group, GNc and PTXc group, KTXc and PTXc group. The correlation (r = 0.84) of complication severity in recipients who developed concurrently complication from transplanted kidney, transplanted pancreas and general surgery complication was found.
  
  
  CONCLUSIONS
  The modified Dindo-Clavien scale is an useful methodology for the correlation description of complication severity in complex multiorgan transplantation such is spktx, especially when the complications originated from different, potentially independent from the pathophysiological point of view, sources.
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland. Electronic address: tadeusz.grochowiecki@wum.edu.pl.
authors: T
authors: T
authors: Grochowiecki
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland.
authors: K
authors: K
authors: Madej
authors: Department of General and Endocrine Surgery, Warsaw Medical University, Warsaw, Poland.
authors: Z
authors: Z
authors: Gałązka
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland.
authors: T
authors: T
authors: Jakimowicz
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland.
authors: M
authors: M
authors: Jędrasik
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland.
authors: P
authors: P
authors: Świercz
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland.
authors: K
authors: K
authors: Łukawski
authors: Department of Immunology, Transplantology and Internal Diseases, Warsaw Medical University, Warsaw, Poland.
authors: L
authors: L
authors: Pączek
authors: Department of Transplantation Medicine and Nephrology, Warsaw Medical University, Warsaw, Poland.
authors: M
authors: M
authors: Durlik
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland.
authors: S
authors: S
authors: Nazarewski
authors: Department of General, Vascular and Transplant Surgery, Warsaw Medical University, Warsaw, Poland.
authors: J
authors: J
authors: Szmidt
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*; D011183:Postoperative Complications / Q000145:classification*; D012189:Retrospective Studies