2011 - IPITA - Prague
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Poster
1.159 - Thessification of surgical complication applied to pancreas transpklantation: single center experience
Presenter: R. , Garcia-Roca, ,
Authors: R. Garcia-Roca, G. Spoletini, J. Samame, G. Diaz del Gobbo1, M.J. Ricart1
P-159
Thessification of surgical complication applied to pancreas transpklantation: single center experience
R. Garcia-Roca, G. Spoletini, J. Samame, G. Diaz del Gobbo1, M.J. Ricart1
Hospital Clinico Barcelona, Barcelona, Spain
Introduction: Complicaitons in transplantation are expressed in terms of graft outcomes, factoring surgical technique, donor and recipient characteristics. We evaluate the applicability of the Clavien-Dindo classification to pancreas transplantation (type-C intervention) and the impact on graft outcomes.
Methods: Retrospective analysis of 249 pancreas transplants over 10yrs. Donor, recipient, transplant procedure and posttransplant complications are analysed. Hemodialysis for delayed renal graft function and immunosuppression-related complications were excluded. The highest graded complication was recorded.
Results: Complication rates were 26.9% Class.I-II, 43% Class-III and 2.4% Class IV-V. Blood transfusion represented 66.7% of Class-II. Thrombosis was the commonest among the IIIa (83.7%) the remaining were colections percuteneously drainageed. In type IIIb, bleeding occurred in 48.4%, thrombosis in 20.3% and anastomotic leak in 21.6%. Patient and procedure demographics are presented in table 1.The 1 and 5yr graft survival are 95.2/95.2% for Class I-II, 94.7/94.7% class IIIa, 95.2/74.4% class IIIb and 93.2/67.7 for class IV-V. (p=NS). Failure to treat was considered pancreas removal (n=27), 7 cases during the transplant procedure due to poor organ perfusion, the remaining as a consequence of a complication.
Conclusion: The classification applied to pancreas transplantation doesn't reflect on graft outcomes. Some complications are derived from the treatment required and are expected as normal postoperative course.
None (n=68) | I-II (n=68) | IIIa (n=43) | IIIb (n=64) | IV-V(n=6) | Total (n=249) | / P-159 Thessification of surgical complication applied to pancreas transpklantation: single center experience R. Garcia-Roca, G. Spoletini, J. Samame, G. Diaz del Gobbo1, M.J. Ricart1 Introduction: Complicaitons in transplantation are expressed in terms of graft outcomes, factoring surgical technique, donor and recipient characteristics. We evaluate the applicability of the Clavien-Dindo classification to pancreas transplantation (type-C intervention) and the impact on graft outcomes. Methods: Retrospective analysis of 249 pancreas transplants over 10yrs. Donor, recipient, transplant procedure and posttransplant complications are analysed. Hemodialysis for delayed renal graft function and immunosuppression-related complications were excluded. The highest graded complication was recorded. Results: Complication rates were 26.9% Class.I-II, 43% Class-III and 2.4% Class IV-V. Blood transfusion represented 66.7% of Class-II. Thrombosis was the commonest among the IIIa (83.7%) the remaining were colections percuteneously drainageed. In type IIIb, bleeding occurred in 48.4%, thrombosis in 20.3% and anastomotic leak in 21.6%. Patient and procedure demographics are presented in table 1.The 1 and 5yr graft survival are 95.2/95.2% for Class I-II, 94.7/94.7% class IIIa, 95.2/74.4% class IIIb and 93.2/67.7 for class IV-V. (p=NS). Failure to treat was considered pancreas removal (n=27), 7 cases during the transplant procedure due to poor organ perfusion, the remaining as a consequence of a complication. Conclusion: The classification applied to pancreas transplantation doesn't reflect on graft outcomes. Some complications are derived from the treatment required and are expected as normal postoperative course.
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