A Clinical Observation on 15 Patients of Renal Transplantation

Cho, Dai Haing

Abstract

A clinical evaluation were performed on 15 patients of renal transplantation which were done at Department of Urology, St. Mary's Hospital from March 1, 1969 to September 30, 1975.The results were as follows;l) The number and sex distribution of renal transplant patients.Recipient: Male 14 pts. Female 1 pt.Donor Male 9 pts. Female 6 pts.2) Age distributionRecipient: From 18 to 59 years oldDonor: From 20 to 72 years old3) Relation between donor and recipientRelated 13 casesUnrelated 2 cases4) Etiologic disease of recipientChronic glomerulonephritis 13 casesChronic pyelonephritis 2 cases5) Nephrectomy of recipient in renal transplantationBilateral nephrectomy 8 casesUnilateral nephrectomy 5 casesWithout nephrectomy 2 cases6) Ischemic timeRanged from 18 min. 50 sec. to 56 min.Average 29 min. 36 sec.7) Medical complication of renal transplantationRejection 6Infection 7Massive diuresis 2Anuria 3Hematuria due to heparin over-use 1Diabetes mellitus 4Secondary hyperparathyroidism 18) Surgical complication of renal transplantationStenosis of renal arterial anastomosis 1Rupture of dissecting aneurysm of renal arterial anastomosis 1Intestinal obstruction 1Wound disruption 1Disruption of ureteroneocystostomy 1Fistula of cystostomy 1Vesical calculi 19) Prognosis of renal transplantationSurvival patients 8Expired patients 7Survival period of the expired patients3 months 1 case6 months 2 cases1 year 1 case2 years 2 cases4 years 1 case10) Cause of deathRejection 5 casesSepsis 2 casesUremia 1 caseC.V.A. 1 case.