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

• Main Authors: B. B. Baimakhanov, Zh. N. Kyzhyrov, M. M. Sakhipov, A. T. Chormanov, T. K. Kuandikov, R. P. Ibragimov, Ch. T. Sadykov, D. A. Issayev
• Format: Article
• Language: Russian
• Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2015-10-01
• Series: Vestnik Transplantologii i Iskusstvennyh Organov
• Subjects: renal failure; transplantation of a kidney; donor; recipient; postoperative period; complications
• Online Access: https://journal.transpl.ru/vtio/article/view/568

Aim: To estimate results of kidney transplantation in city clinical hospital No. 7 of Almaty. Materials and methods. 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.Results. 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.Conclusion. 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.