Renal transplantation from cadaver donors is a widely accepted treatment choice for end stage renal disease patients. Gazi University Transplantation Center was established on January 1996 between 1996 and 2006 there were 22 cadaver donors. January 2006 transplantation center was re-established. January 2006 through September 2008, totally 38 cadaver renal transplantation was performed. We retrospectively analyzed outcome of 38 cadaver donors from our data base. There were 20 male, 18 women recipients. Nine out of 38 are pediatric, the rest are adult recipient. Mean donor and recipients’ ages are 29, 44+/-14,1 and 41,7+/- 15,1 years old respectively. The immunosuppression therapy consists of steroids, MMF and calcineurin inhibitors. As induction therapy recipients received Simulect 20 mg on day 0 and 4. All patients were treated with pulse steroids (10mg/kg) for acute rejection episodes. ATG (2mg/kg) was used in steroid resistant acute rejection cases. Totally 6 acute rejections were seen in 6 patients. Two out of 6 were steroid resistant acute rejection and ATG was used for treatment. Postoperative follow up median is 62 weeks (3-121 weeks). Six months, 1 and 2 years of patients and graft survivals are %100, %100 % 97,3 and %97,3, %94,7, %88,8 respectively. Totally 4 grafts were lost. Two were from viral infections (BK nephropathy), 1 renal artery thrombosis and 1pediatric dual kidney to adult kidney. Only 1 (2%) patient was died due to sepsis. There were 4 (10.5%) postoperative complications; 4 incisional hernia. In one patient, urine leak was seen as urinary complication.
Volume : 6
Issue : 4
Pages : 224
Gazi University Transplantation Center, Gazi University Medical Faculty, Ankara, Turkey