Perioperative management of multiorgan transplantation

Abstract

Abstract: Objective To summarize the experience with perioperative management of multiorgan transplantation. Methods From October 2001 to January 2005, 19 patients received multiorgan transplantation in Nanfang Hospital, including 6 with simultaneous kidney-pancreas transplantation(SKPT), 12 with combined liver-kidney transplantation(CLKT), and 1 with simultaneous liver-pancreas transplantation(SLPT). The surgical techniques, application of immunosuppressants, and complication management were reviewed. Results All transplantation procedures were performed successfully. The transplantation-related complications included tacrolimus-induced renal toxicosis in 1(5.3%) case, acute graft rejection in 3(15.8%) cases, intestinal hemorrhage in 2(10.5%) cases, intra-abdominal hemorrhage in 1(5.3%) case, and lung infection in 1(5.3%) case, all of which were cured after proper treatment. Conclusions Donor selection, good quality of the donor organ, proper surgical approaches, adequate use of the-mmunosuppressants, and prevention of complications are essential to the success of multiorgan transplantation.

CLC Number:

R617

YU Li-xin, YE Jun-sheng, DENG Wen-feng, XU Jian, FU Shao-jie, YE Gui-rong, DU Chuan-fu, WANG Yi-bin, LIU Xiao-you, MIAO Yun. Perioperative management of multiorgan transplantation[J]. Journal of Southern Medical University, 2005, 25(02): 165-167.

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