The Long-term Effects Of Patients After Renal Transplantation With Different Artery Anastomosing Technique

Objective:To analyze the long-term effects of patients after renal transplantation with the three different artery anastomosing techniques.Methods:489 patients received renal transplantation operations in the center of Shanghai First People Hospital between February 1999 and December 2002. From these patients, the study internalized 138 who used the same immunological suppressive agents protocol of Neoral CsA+MMF+Pred, and without infectious diseases, AF, surgery complications, or dead with graft function. Of all these patients, male 75, female 63.The mean age was 40.58±10.62(18 ～ 65), and the mean weight was 62.93±11.43kg(38kg～88kg). The survey gathered personal informationbefore and circum-operations, and the long-term renal functions. To investigate the long-term results with the three different artery anastomosing techniques.Results:In our study, donor's renal arteries end-to-end anastomosis to 92 recipients' internal iliac arteries, and end-to-side anastomosis to 40 recipients' external iliac arteries, and the other 6 patients used both of the tow techniques for multiple donors' renal arteries. We found that in the three groups, body weight, hemoglobin, leukocyte count, platelet count,GPT, blood glucose, Scr, BUN, UA, cholesterol, and TG had no significant difference after more than 5 years since the transplantation. Dose of MMF and pred had no significant difference too. But the CsA dose and C₀ concentration of the third group was different significantly from the other tow groups. There was no relationship between deferent artery anastomosing forms and kainogenesis hypertension after operations. The long-term renal function of patients after renal transplantation was significantly related with hot ischemia time, but not with right or left of the donors' renal, number of the artery, the position of renal in recipients, or artery anastomosing forms. Conclusion:There was no significant relationship between deferent artery anastomosing forms and the long-term renal functions of patients after transplantations, kainogenesis hypertension, hemogram, blood-fat, or GPT.