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摘要:
Simultaneous pancreas-kidney transplantation is the treatment of choice forinsulin-dependent diabetes that associates end-stage diabetic nephropathy, sinceit achieves not only a clear improvement in the quality of life, but also provides along-term survival advantage over isolated kidney transplant. However, pancreastransplantation still has the highest rate of surgical complications among organtransplants. More than 70% of early graft losses are attributed to technical failures,that is, to a non-immunological cause. The so-called technical failures includegraft thrombosis, bleeding, infection, pancreatitis, anastomotic leak and pancreaticfistula. Pancreatic graft thrombosis leads these technical complications as the mostfrequent cause of early graft loss. Currently most recipients receive postoperativeanticoagulation with the aim of reducing the rate of thrombosis. Hemoperitoneumin the early postoperative period is a frequent cause of relaparotomy, but it is notusually associated with graft loss. The incidence of hemoperitoneum is clearlyrelated to the use of anticoagulation in the postoperative period. Post-transplantpancreatitis is another cause of early postoperative complications, less frequentthan the previous. In this review, we analyze the most common surgicalcomplications that determine pancreatic graft losses.
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篇名 Immediate post-operative complications(I):Post-operative bleeding;vascular origin:Thrombosis pancreatitis
来源期刊 世界移植杂志 学科 医学
关键词 Pancreas transplantation Vascular graft thrombosis Postoperative hemorrhage Graft pancreatitis Reperfusion injury Tissue donors Risk factors
年,卷(期) sjyzzz_2020,(12) 所属期刊栏目
研究方向 页码范围 415-421
页数 7页 分类号 R57
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节点文献
Pancreas
transplantation
Vascular
graft
thrombosis
Postoperative
hemorrhage
Graft
pancreatitis
Reperfusion
injury
Tissue
donors
Risk
factors
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界移植杂志
不定期
2220-3230
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
41
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0
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