Moya-Herraiz Angel, Muñoz-Bellvis Luis, Ferrer-Fábrega Joana, Manrique Municio Alejandro, Pérez-Daga José Antonio, Muñoz-Casares Cristóbal, Alarcó-Hernández Antonio, Gómez-Gutiérrez Manuel, Casanova-Rituerto Daniel, Sanchez-Bueno Francisco, Jimenez-Romero Carlos, Fernández-Cruz Pérez Laureano
Unidad de Cirugía HPB y Trasplante, Servicio de Cirugía General, Hospital Universitari y Politècnic La Fe, Valencia, España.
Servicio de Cirugía, Hospital General Universitario, Salamanca, España.
Cir Esp. 2015 May;93(5):300-6. doi: 10.1016/j.ciresp.2014.12.006. Epub 2015 Jan 28.
Technical failure in pancreas transplant has been the main cause of the loss of grafts. In the last few years, the number of complications has reduced, and therefore the proportion of this problem.
The Spanish Pancreas Transplant Group wanted to analyze the current situation with regard to surgical complications and their severity.
A retrospective and multicenter study was performed. 10 centers participated, with a total of 410 pancreas transplant recipients between January and December 2013.
A total of 316 transplants were simultaneous with kidney, 66 after kidney, pancreas-only 10, 7 multivisceral and 11 retrasplants. Surgical complication rates were 39% (n=161). A total of 7% vascular thrombosis, 13% bleeding, 6% the graft pancreatitis, 12% surgical infections and others to a lesser extent. Relaparotomy rate was 25%. The severity of complications were of type IIIb (13%), type II (12%) and type IVa (8.5%). Graft loss was 8%. Early mortality was 0.5%. The percentage of operations for late complications was 17%.
The number of surgical complications after transplantation is not negligible, affecting one in 3 patients. They are severe in one out of 5 and, in one of every 10 patients graft loss occurs. Therefore, there is still a significant percentage of surgical complications in this type of activity, as shown in our country.
