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Combined liver-kidney transplantation: experience at a Brazilian university hospital.
Veras, Francisca Jovita de Oliveira; Coelho, Gustavo Rêgo; Feitosa-Neto, Bartolomeu Alves; Cerqueira, João Batista Gadelha; Garcia, Regina Célia F Gomes; Garcia, José Huygens Parente.
Afiliação
  • Veras FJ; Department of Surgery, Federal University of Ceara, Fortaleza, CE, Brazil.
  • Coelho GR; Department of Surgery, Federal University of Ceara, Fortaleza, CE, Brazil.
  • Feitosa-Neto BA; Department of Surgery, Federal University of Ceara, Fortaleza, CE, Brazil.
  • Cerqueira JB; Department of Surgery, Federal University of Ceara, Fortaleza, CE, Brazil.
  • Garcia RC; Department of Surgery, Federal University of Ceara, Fortaleza, CE, Brazil.
  • Garcia JH; Department of Surgery, Federal University of Ceara, Fortaleza, CE, Brazil.
Arq Bras Cir Dig ; 27(1): 53-5, 2014.
Article em En | MEDLINE | ID: mdl-24676300
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Fígado Tipo de estudo: Observational_studies / Prognostic_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Arq Bras Cir Dig Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Fígado Tipo de estudo: Observational_studies / Prognostic_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Arq Bras Cir Dig Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil