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| Authors | J Psaila R Attard E Farrugia L Buhagiar A R Attard |
| Abstract | Background: Renal transplantation offers the best therapeutic modality in end-stage renal failure. The number of patients in need of a renal transplant has increased significantly. Cadaveric renal transplantation has remained fairly constant. To bridge the disparity, there has been an increasing interest in living-donor renal transplantation. Aim: This paper seeks to assess the feasibility, outcome and establish local criteria of performing living-donor renal transplantation. Method: This was a retrospective analysis of living donor renal transplantation performed at St Lukes Hospital under one consultant surgeon (ARA) between October 1998 and August 2006. All patients were discussed by the renal committee. Method of patient selection, preoperative imaging, postoperative complications, renal function, and mortality were analyzed. Results: A total of 15 patients underwent living-donor transplantation. The median age of recipient was 27years (range 16-61). There was only one recipient mortality due to overwhelming sepsis, the rest were well after a median follow-up of 36 months postoperatively. The serum creatinine had fallen from a median of 785umol/l (range1168-446) pre-operatively to 138umol/l (range 285-96) at one year post-operatively. There were 2 cases of acute rejection, 2 other of borderline acute rejection and 2 further cases developed chronic rejection. No donor mortality. Conclusion: Living-donor renal transplantation can safely be performed even in such a small institution such as Malta. |
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| Journal | Malta Medical Journal |
| Volume | 15 Issue 1-2/suppl. 2003 |
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| Key words | audit, living donors, renal transplant |