Simultaneous pancreas-kidney transplantation from living donor using hand-assisted laparoscopic donor surgery

Single-center experience

K. T. Park, H. Jun, Myung-Gyu Kim, Yoon-Jung Boo, Cheol Woong Jung

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background Simultaneous pancreas-kidney (SPK) transplantation has been the fundamental treatment and has shown significant results in selected patients diagnosed with type 1 diabetes with renal insufficiency. Most pancreas transplantations are dependent on deceased donors, yet the waiting time for SPK transplantation from deceased donors is significantly long in Asian countries. Methods In 3 cases, living-donor SPK transplantation was performed with the use of hand-assisted laparoscopic donor surgery (HALS). Three cases of patients who underwent SPK transplantation from living donors (LDSPK) with the use of HALS at Korea University Anam Hospital from 2012 to 2013 were retrospectively reviewed regarding patient characteristics and clinical outcomes of donors and recipients. For the donors, the pancreas and renal function had been well preserved postoperatively. Results One donor had a pancreatic fistula, which was controlled with conservative management. Of the 3 cases of recipient operation, 1 case was performed by ABO incompatibility donor. The levels of creatinine, serum insulin, and C-peptide of recipients were normalized and remained stable at the last follow-up. Conclusions LDSPK can be an efficient alternative in cases in which the deceased donor is not present at the proper time, depending on the degree of completion in the operator's skill.

Original languageEnglish
Pages (from-to)1096-1098
Number of pages3
JournalTransplantation Proceedings
Volume47
Issue number4
DOIs
Publication statusPublished - 2015 May 1

Fingerprint

Hand-Assisted Laparoscopy
Pancreas Transplantation
Living Donors
Kidney Transplantation
Tissue Donors
Pancreatic Fistula
C-Peptide
Korea
Type 1 Diabetes Mellitus
Renal Insufficiency
Pancreas
Creatinine

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Simultaneous pancreas-kidney transplantation from living donor using hand-assisted laparoscopic donor surgery : Single-center experience. / Park, K. T.; Jun, H.; Kim, Myung-Gyu; Boo, Yoon-Jung; Jung, Cheol Woong.

In: Transplantation Proceedings, Vol. 47, No. 4, 01.05.2015, p. 1096-1098.

Research output: Contribution to journalArticle

@article{544d6a7c72744cb89432507f24af2bca,
title = "Simultaneous pancreas-kidney transplantation from living donor using hand-assisted laparoscopic donor surgery: Single-center experience",
abstract = "Background Simultaneous pancreas-kidney (SPK) transplantation has been the fundamental treatment and has shown significant results in selected patients diagnosed with type 1 diabetes with renal insufficiency. Most pancreas transplantations are dependent on deceased donors, yet the waiting time for SPK transplantation from deceased donors is significantly long in Asian countries. Methods In 3 cases, living-donor SPK transplantation was performed with the use of hand-assisted laparoscopic donor surgery (HALS). Three cases of patients who underwent SPK transplantation from living donors (LDSPK) with the use of HALS at Korea University Anam Hospital from 2012 to 2013 were retrospectively reviewed regarding patient characteristics and clinical outcomes of donors and recipients. For the donors, the pancreas and renal function had been well preserved postoperatively. Results One donor had a pancreatic fistula, which was controlled with conservative management. Of the 3 cases of recipient operation, 1 case was performed by ABO incompatibility donor. The levels of creatinine, serum insulin, and C-peptide of recipients were normalized and remained stable at the last follow-up. Conclusions LDSPK can be an efficient alternative in cases in which the deceased donor is not present at the proper time, depending on the degree of completion in the operator's skill.",
author = "Park, {K. T.} and H. Jun and Myung-Gyu Kim and Yoon-Jung Boo and Jung, {Cheol Woong}",
year = "2015",
month = "5",
day = "1",
doi = "10.1016/j.transproceed.2014.10.063",
language = "English",
volume = "47",
pages = "1096--1098",
journal = "Transplantation Proceedings",
issn = "0041-1345",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Simultaneous pancreas-kidney transplantation from living donor using hand-assisted laparoscopic donor surgery

T2 - Single-center experience

AU - Park, K. T.

AU - Jun, H.

AU - Kim, Myung-Gyu

AU - Boo, Yoon-Jung

AU - Jung, Cheol Woong

PY - 2015/5/1

Y1 - 2015/5/1

N2 - Background Simultaneous pancreas-kidney (SPK) transplantation has been the fundamental treatment and has shown significant results in selected patients diagnosed with type 1 diabetes with renal insufficiency. Most pancreas transplantations are dependent on deceased donors, yet the waiting time for SPK transplantation from deceased donors is significantly long in Asian countries. Methods In 3 cases, living-donor SPK transplantation was performed with the use of hand-assisted laparoscopic donor surgery (HALS). Three cases of patients who underwent SPK transplantation from living donors (LDSPK) with the use of HALS at Korea University Anam Hospital from 2012 to 2013 were retrospectively reviewed regarding patient characteristics and clinical outcomes of donors and recipients. For the donors, the pancreas and renal function had been well preserved postoperatively. Results One donor had a pancreatic fistula, which was controlled with conservative management. Of the 3 cases of recipient operation, 1 case was performed by ABO incompatibility donor. The levels of creatinine, serum insulin, and C-peptide of recipients were normalized and remained stable at the last follow-up. Conclusions LDSPK can be an efficient alternative in cases in which the deceased donor is not present at the proper time, depending on the degree of completion in the operator's skill.

AB - Background Simultaneous pancreas-kidney (SPK) transplantation has been the fundamental treatment and has shown significant results in selected patients diagnosed with type 1 diabetes with renal insufficiency. Most pancreas transplantations are dependent on deceased donors, yet the waiting time for SPK transplantation from deceased donors is significantly long in Asian countries. Methods In 3 cases, living-donor SPK transplantation was performed with the use of hand-assisted laparoscopic donor surgery (HALS). Three cases of patients who underwent SPK transplantation from living donors (LDSPK) with the use of HALS at Korea University Anam Hospital from 2012 to 2013 were retrospectively reviewed regarding patient characteristics and clinical outcomes of donors and recipients. For the donors, the pancreas and renal function had been well preserved postoperatively. Results One donor had a pancreatic fistula, which was controlled with conservative management. Of the 3 cases of recipient operation, 1 case was performed by ABO incompatibility donor. The levels of creatinine, serum insulin, and C-peptide of recipients were normalized and remained stable at the last follow-up. Conclusions LDSPK can be an efficient alternative in cases in which the deceased donor is not present at the proper time, depending on the degree of completion in the operator's skill.

UR - http://www.scopus.com/inward/record.url?scp=84930399901&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84930399901&partnerID=8YFLogxK

U2 - 10.1016/j.transproceed.2014.10.063

DO - 10.1016/j.transproceed.2014.10.063

M3 - Article

VL - 47

SP - 1096

EP - 1098

JO - Transplantation Proceedings

JF - Transplantation Proceedings

SN - 0041-1345

IS - 4

ER -