생체 신이식 112례 수술 술식과 외과적 합병증

Abstract

Though the recipients have to be maintained on immunosuppressive medication with various side effects, renal transplantation especially from living donor offers a great opportunity for rehabilitation to the patients with end-stage renal disease. It also seemed to be the most cost effective therapeutic method for these patients. Compare with the centers in United States and Europe where most of the renal transplantations are from cadaver, we have only a limited supply of kidney donor from relatives or living volunteers. Beside that, we often faced with a difficult situation if the only volunteer donor has a vascular anomalies at both side. The techniques of vascular anastomosis of multiple renal vessels and ureter reconstruction are already established and complications that occured after each procedures are also well discussed in many published literatures. From November, 1982 to Kecember, 1989, we experienced 112 cases of living donor renal transplantation at Keimyung University. This report provides an analysis of the patients data, surgical technique and complication of these cases.