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Ipsilateral versus contralateral placement of the pancreas allograft in pancreas after kidney transplant recipients
Author(s) -
Yin Hang,
Arpali Emre,
Leverson Glen E.,
Sollinger Hans W.,
Kaufman Dixon B.,
Odorico Jon S.
Publication year - 2018
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13337
Subject(s) - medicine , pancreas , kidney , pancreas transplantation , surgery , urology , renal function , kidney transplantation
Background In a diabetic, uremic kidney transplant recipient that may receive a future pancreas after kidney (PAK) transplant, the kidney is typically implanted on the left side in anticipation of the subsequent pancreas transplant on the right side. In this study, we sought to determine if ipsilateral PAK (iPAK) is as safe as contralateral PAK (cPAK). Methods The 115 PAK transplants (iPAK n = 57, cPAK n = 58) were performed from 1997‐2010 and results were compared between the groups. Results Kidney graft survival and pancreas graft survival was similar between the two groups. Kidney graft function according to serum creatinine and eGFR was not different between the cPAK and the iPAK groups and there were no episodes of kidney graft thrombosis in either group. Subgroup analyses focusing on donor source also did not show worse outcomes for graft survivals in iPAK group when compared to cPAK group. Conclusions Pancreas and kidney graft survival in PAK transplants is unaffected by the surgical procedure and iPAK is safe.