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THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY

By B. B. Baimakhanov, Zh. N. Kyzhyrov, M. M. Sakhipov, A. T. Chormanov, T. K. Kuandikov, R. P. Ibragimov, Ch. T. Sadykov and D. A. Issayev

Abstract

<p><strong>Aim:</strong> To estimate results of kidney transplantation in city clinical hospital No. 7 of Almaty.<strong> </strong></p><p><strong>Materials and methods. </strong>100 patients who underwent kidney transplantation in our institution were analyzed; males – 54 (54%), females – 46 (46%), aged from 14 till 58 years old (39 ± 10.3). In 91 cases hand – assisted laparoscopic nephrectomy (HALN) was performed and in 3 cases – open method (2 with mini-lumbotomic and 1 with pararectal access) was used.</p><p><strong>Results</strong>. The survival rate was 98% (98 patients). The causes of death were the nonfunctioning transplant due to noncompliance of immunosuppression, post traumatic septic complications, multiple organ failure. The most frequent complications were hematoma (12%), acute rejection (8%), and tubular necrosis (2%). Less aggressive schemes of immunosuppressive therapy allow reducing risk of drug toxic impact on the patient's organism and, thus, can extend functioning of a transplant.</p><p><strong>Conclusion.</strong> Kidney transplantation is an effective treatment method of end stage renal diseases. The use of modern immunosuppressive therapy protocols and adequate immunological selection of donor – recipient provide high survival of transplants. Operative treatment and further case management of this group of patients are possible in highly specialized medical hospital.</p

Topics: почечная недостаточность, трансплантация почки, донор, реципиент, послеоперационный период, осложнения, Surgery, RD1-811
Publisher: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
Year: 2015
OAI identifier: oai:doaj.org/article:e90432dbae4f49d0a37e30227a10eb2d
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