Simultaneous pancreas-kidney transplantation: Early complications and long-term outcomes — a single-center experience

Authors

  • Natalia Vidal Crespo Hospital Clínico Universitario Virgen de la Arrixaca
  • Pedro López Cubillana Hospital Clínico Universitario Virgen de la Arrixaca
  • Pedro Á. López González Hospital Clínico Universitario Virgen de la Arrixaca
  • Cristóbal Moreno Alarcón Hospital Clínico Universitario Virgen de la Arrixaca
  • Javier Rull Hernández Hospital Clínico Universitario Virgen de la Arrixaca
  • Laura Aznar Martínez Hospital Clínico Universitario Virgen de la Arrixaca
  • Alicia López Abad Hospital Clínico Universitario Virgen de la Arrixaca
  • Juan C. Fernández Garay
  • Rocío Martínez Muñoz Hospital Clínico Universitario Virgen de la Arrixaca
  • Santiago Llorente Viñas
  • Juan A. Fernández Hernández Hospital Clínico Universitario Virgen de la Arrixaca
  • Guillermo A. Gómez Gómez

DOI:

https://doi.org/10.5489/cuaj.7635

Keywords:

“diabetic nephropathies” “kidney transplantation” “pancreas transplantation” “postoperative complications”

Abstract

Introduction: This study aimed to assess the prevalence and severity of complications after simultaneous pancreas-kidney transplantation (SPKT) and to evaluate its influence on both grafts’ long-term results.

Methods: This was an observational, retrospective study including 39 consecutive SPKT cases from 2000–2018. Complications were classified into kidney-related and pancreas-related. The severity of complications was assessed using the modified Clavien-Dindo scale. Kaplan-Meier curve analysis and log-rank tests were used. Cox regression was performed for the multivariate analysis.

Results: All 39 recipients had long-term type I diabetes. Twenty-one (53.8%) patients suffered a Clavien-Dindo ≥IIIa complication. Most complications were pancreas-related, with 17 (43.6%) patients suffering from one. Kidney-related major complications were seen in 11 (28.2%) patients. Patient survival at one, five, and 15 years was 89.7%, 87.1%, and 83.9%, respectively; kidney survival was 87.1%, 81.4%, and 73.6%, respectively; and pancreas survival was 76.9%, 71.3%, and 72%, respectively. Pancreas graft survival was influenced by the presence of major postoperative complications; patients and kidney graft survival were not.

Conclusions: Complications after SPKT influence pancreas graft survival. Despite the high rate of complications, our results suggest that patient and kidney graft survival may not be affected by complications.

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Published

2022-02-28

How to Cite

Vidal Crespo, N., López Cubillana, P., López González, P. Á., Moreno Alarcón, C. ., Rull Hernández, J., Aznar Martínez, L. ., López Abad, A., Fernández Garay, J. C., Martínez Muñoz, R., Llorente Viñas, S., Fernández Hernández, J. A., & Gómez Gómez, G. A. (2022). Simultaneous pancreas-kidney transplantation: Early complications and long-term outcomes — a single-center experience. Canadian Urological Association Journal, 16(7), E357–62. https://doi.org/10.5489/cuaj.7635

Issue

Section

Original Research