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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

versión impresa ISSN 0102-6720versión On-line ISSN 2317-6326

Resumen

VERAS, Francisca Jovita de Oliveira et al. Combined liver-kidney transplantation: experience at a brazilian university hospital. ABCD, arq. bras. cir. dig. [online]. 2014, vol.27, n.1, pp.53-55. ISSN 0102-6720.  http://dx.doi.org/10.1590/s0102-67202014000100013.

Background:

Combined liver-kidney transplant is a routine procedure in many transplant centers. The increase in its number coincided with the introduction in 2002 of the MELD (Model for End-stage Liver Disease) score for allocation of livers, prioritizing patients with renal dysfunction.

Aim

: To analyze the experience with combined liver-kidney transplantation in a liver transplant center in Brazil.

Method

: A retrospective review was conducted. All transplants were performed using grafts from deceased donors.

Results

: Sixteen combined liver-kidney transplantations were performed in the same period, which corresponds to 2.7% and 2.5% of the kidney and liver transplants, respectively. Fourteen patients were male (87.5 %) and two were female (12.5%). The average patients and donors age was 57.3±9.1 and 32.7±13.1, respectively. The MELD score mean was 23.6±3.67. The main cause of liver dysfunction were chronic hepatitis C virus (n=9). As for renal dysfunction, diabetic nephropathy (n=4) was the most frequent. There were six deaths, two of them by severe dysfunction of the liver graft and four by infectious causes. The 1, 3 and 5 years survival rate in patients undergoing liver-kidney transplantations was 68.8%, 57.3% and 57.3%, respectively.

Conclusion

: The survival rates achieved in this series are considered satisfactory and show that this procedure has an acceptable morbidity and survival.

Palabras clave : Kidney transplantation; Liver transplantation; Survival.

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