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133. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

26.04. - 29.04.2016, Berlin

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Surgical complications in ABOi kidney transplantation

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  • Christiane Sophie Rösch - Krankenhaus der Elisabethinen Linz, Abteilung für Chirurgie, Linz, Austria
  • Thomas Schwierz - Krankenhaus der Elisabethinen Linz, Abteilung für Chirurgie, Linz, Austria
  • Axel Krause - Krankenhaus der Elisabethinen Linz, Abteilung für Chirurgie, Linz, Austria
  • Wolfgang Enkner - Krankenhaus der Elisabethinen Linz, Abteilung für Innere Medizin III, Linz, Austria
  • Robert Langer - Krankenhaus der Elisabethinen Linz, Abteilung für Chirurgie, Linz, Austria
  • Rainer Oberbauer - Krankenhaus der Elisabethinen Linz, Abteilung für Innere Medizin III, Linz, Austria
  • Reinhold Függer - Krankenhaus der Elisabethinen Linz, Abteilung für Chirurgie, Linz, Austria

Deutsche Gesellschaft für Chirurgie. 133. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 26.-29.04.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. Doc16dgch102

doi: 10.3205/16dgch102, urn:nbn:de:0183-16dgch1021

Published: April 21, 2016

© 2016 Rösch et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Background: ABOi kidney transplantation is an increasingly applied strategy to increase donor pools in living donation. However, data on perioperative surgical complications are rare and suggest an increased complication rate.

Materials and methods: 19 consecutive ABOi kidney transplantations were performed between November 2009 and November 2014. 18 recipients were male and one female.Median age was 52 years (min 18 – max 71), median number of mismatches was 4 (min 0 – max 6). Immunosuppressive therapy consisted of preoperative immunoadsorption and rituximab, basiliximab induction and maintainance with prednisolone, tacrolimus and mycophenolat-mofetil. Patients were anylazed for perioperative complications (according to the Dindo-Clavien classification), unplanned reoperations and reinterventions in a 30-day-period.

Results: Overall perioperative morbidity was 74% (14 of 19 patients). According to Dindo-Clavien, 10 (52%) patients had minor complications (Grade 1 and 2) and 4 (21%) major complications ( n = 4 Grade 3, none Grade 4 and 5). There were 4 unplanned reoperations (postoperative haemorrhage n=2, epidural haematoma n=1, graft loss n=1) and two percutaneous reinterventions (puncture of a seroma, percutaneous angioplasty) in a total of 4 (21%) patients. There were no revisions due to surgical site infections , lymphoceles or wound related complications.

Conclusion: The incidence of surgical complications following ABOi kidney transplantation does not seem to be remarkably elevated. Especially wound related complications are not increased.