신이식 300례의 임상분석
Clinical Analysis of 300 Renal Transplantations
소속 상세정보
이창규
임학/백승언/이승도/김종철/류현열
KMID : 0358319950360010091
Abstract
Three hundred renal transplantations were performed by the transplantation team in the Kosin Medical College from December, 1984 to August, 1993. Prognosis and complications with affecting factors and demographic data were analysed and the
results
were
as follows;
1. In 300 recipients, 206 cases were male and 94 cases were female. 146 cases were male and 154 cases were female in 300 donors.
2. All 300 cases were living transplantations; ainong them, 207 cases were related and 93 cases were unrelated onors.
3. The most common underlying disease of recipients was chronic glomerulonephritis(89%).
4. In 263 donors, the left kidney was selected for graft.
5. For donor nephrectomy, flank incision(anterior incison) was used in asll cases and among them 12th transcostal incision was made in 134 cases.
6. For donor nephrectomy, modified MacKinnon's mthod was performed in 297 cases and Politano-Leadbetter procedure was used in only 3 cases.
7. Postoperative urologic complications occurred in 25 cases (8.3%); perirenal hematoma. 16 cases for which revision was done; urine leakage, 8 cases for which 6 cases needed revision.
8. Complications of donor nephrectomy occurred in 8 cases (2.6%); retroperitoneal hematoma, 2 cases; pneumothorax, 2 cases, pleural effusion, atelectasis, ulcer perforation and stress ulcer, one case respectively.
9. The survival rate for the graft was 91.6% for one year, 88.1% for 2 years, 81.5% for 3 years, 77.7% for 4 years and 74.3%. for 5 years. The survival rates of the recipients were 94.4%, 93.6%, 91.4%, 83.7% and 89.7% according to each year
respectively.
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