RENAL TRANSPLANTASYONDA ON YILLIK CERRAHİ İMMUNOLOJİK VE SAĞKALIM SONUÇLARI

Introduction: The aim of this study was to determine renal transplantation results that we performed in ourcenter. Material- Methods: A retrospective review of the results of renal transplantation between 1996 and 2006 was conducted.The evaluation was about both grafts and patients survival and immunologic, surgical complications in 1, 5, 10 years follow-up. Results: A total of 157 renal transplantation patients were included in the study.To 139 patients (89%) living related donor, and to 18 patients (11%) cadaveric renal transplantation was done. The mean age of the patients during the time of the operations was 30,4 years (range 14-60). The mean follow-up time was 55 months. In 1,5,10 years follow-up, the grafts survival rates of transplantations from living donors were 92%,80%,50%, and also the patients survival rates were 95%,90%,80% respectively. In 1,5 years follow-up, the graft survival rates of transplantations that we had done from cadavers were 89%,62% and the patients survival rates were 100%,87% respectively. Surgical complications developed in 43 patients, while in other 114 patients not. The most common surgical complications was lymphocele in 17 patients (10.8%) that was followed by ureterovesicalstenosis in 10 patients (6,4%), urinoma in 6 patients (3,8%), surgical site infection in 5 patients (3,2%), renal artery stenosis in 3 patients (1,9%), renal vein thrombosis in 2 patients (1,3%) respectively. Conclusion: We can prevent the harmful effects of surgical complications and rejections over the graft function and graft survival when we diagnose and treat them early.