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Volume: 2 Issue: 2 December 2004 - Supplement - 1

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CADAVER AND LIVING KIDNEY TRANSPLANTATION, A THREE YEAR EXPERIENCE

We review our experience on kidney Transplantation in our center for the past three years. Since Isfahan congress on Transplanlantation in 1989 and submitting the governmental allowance for cadaver surgery,60 kidney Transplantation have been performed in our center .Among them are 62 cadaver donors and 60 Living donors.Most of the operations performed in khorshid hospital and a few in Al-zahra medical center. In 3 year period, 60 kidneys havested and Transplanlanted from 32 cadavers,. 60 kidneys removed from 60 Living Donors and Transplanlanted to 60 recipients .All cadaver donors were brain dead men, age ranged from 5 to thirt years old. Mean age was 19. 3 years. They were subjected to car (30%) and motorcycle (70%)accidents they were all brain dead. Living donors were between 20-35 years old, mean age was 29 years. 45% of recipients were male.their age ranged. from 9 to 65 years.The distance between the donor center and recipient hospital ranged from zero to 120 kms. Mean ischemic time of Transplanted kidneys was three hours (ranged from one to 16.5 hours). Mean ischemic time of living donors' kidneys was one hour (1-3 hours). Recipients produced urine immediately after transplanted in 85% of cases and remanining patients take up to 14 days to produce urine. Two cases of acute renal allograft rejection that recovered with medical therapy. Three chronic rejection in living kidney Transplants and one from cadaver, subsequently underwent nephrectomy.one year graft suruival in cadaveric and liking Transplantion were 98% and 92% respectively. Three -year patient survival were 88% and 85% in cadaven'c and Living renal Transplan group, respesctively. Tabe-1 shows the serume creatinine in days after transplanlantation. Despite the further distance and more prolonged ischemic time in cadaver renal donors, better results are yielded, companed to living donors,which could be explained by Younger age of the former group.



Volume : 2
Issue : 2
Pages : 98


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