THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY
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...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2015-10-01
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| Series: | Vestnik Transplantologii i Iskusstvennyh Organov |
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| Online Access: | https://journal.transpl.ru/vtio/article/view/568 |
| _version_ | 1797872038273089536 |
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| author | B. B. Baimakhanov Zh. N. Kyzhyrov M. M. Sakhipov A. T. Chormanov T. K. Kuandikov R. P. Ibragimov Ch. T. Sadykov D. A. Issayev |
| author_facet | B. B. Baimakhanov Zh. N. Kyzhyrov M. M. Sakhipov A. T. Chormanov T. K. Kuandikov R. P. Ibragimov Ch. T. Sadykov D. A. Issayev |
| author_sort | B. B. Baimakhanov |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T00:53:33Z |
| format | Article |
| id | doaj.art-e90432dbae4f49d0a37e30227a10eb2d |
| institution | Directory Open Access Journal |
| issn | 1995-1191 |
| language | Russian |
| last_indexed | 2024-04-10T00:53:33Z |
| publishDate | 2015-10-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Vestnik Transplantologii i Iskusstvennyh Organov |
| spelling | doaj.art-e90432dbae4f49d0a37e30227a10eb2d2023-03-13T10:37:22ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912015-10-01173707510.15825/1995-1191-2015-3-70-75491THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATYB. B. Baimakhanov0Zh. N. Kyzhyrov1M. M. Sakhipov2A. T. Chormanov3T. K. Kuandikov4R. P. Ibragimov5Ch. T. Sadykov6D. A. Issayev7City Clinical Hospital № 7, Almaty, Republic of KazakhstanDepartment of surgery internship and residency in S.D. Asfendiyarov Kazakh National Medical University, Almaty, Republic of KazakhstanCity Clinical Hospital № 7, Almaty, Republic of KazakhstanCity Clinical Hospital № 7, Almaty, Republic of KazakhstanCity Clinical Hospital № 7, Almaty, Republic of KazakhstanCity Clinical Hospital № 7, Almaty, Republic of KazakhstanCity Clinical Hospital № 7, Almaty, Republic of KazakhstanCity Clinical Hospital № 7, Almaty, Republic of KazakhstanAim: 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.https://journal.transpl.ru/vtio/article/view/568renal failuretransplantation of a kidneydonorrecipientpostoperative periodcomplications |
| spellingShingle | B. B. Baimakhanov Zh. N. Kyzhyrov M. M. Sakhipov A. T. Chormanov T. K. Kuandikov R. P. Ibragimov Ch. T. Sadykov D. A. Issayev THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY Vestnik Transplantologii i Iskusstvennyh Organov renal failure transplantation of a kidney donor recipient postoperative period complications |
| title | THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY |
| title_full | THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY |
| title_fullStr | THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY |
| title_full_unstemmed | THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY |
| title_short | THE FIRST EXPERIENCE OF KIDNEY TRANSPLANTАTION IN THE CLINICAL HOSPITAL OF ALMATY |
| title_sort | first experience of kidney transplantаtion in the clinical hospital of almaty |
| topic | renal failure transplantation of a kidney donor recipient postoperative period complications |
| url | https://journal.transpl.ru/vtio/article/view/568 |
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