[Dual kidney transplantation - a single-center experience]

Area of Science:

• Nephrology
• Transplantation Surgery
• Immunology

Background:

• Dual kidney transplantation (DKT) is an option for utilizing marginal donor organs, which are kidneys insufficient for standard single transplantation.
• This surgical procedure can be time-consuming and demanding for patients.

Purpose of the Study:

• To evaluate the feasibility and outcomes of dual kidney transplantation using marginal donor grafts.
• To assess the surgical technique, complications, and graft function in recipients of DKT.

Main Methods:

• A retrospective analysis of 13 dual kidney transplantations performed between 2008 and 2016.
• Utilized a bilateral surgical technique for all DKT procedures.
• Median follow-up of 63 months.

Main Results:

• No primary graft non-function observed in 13 DKT recipients.
• Delayed graft function occurred in 31% of patients; surgical complications in 31%.
• All patients exhibited good graft function post-transplantation, with no dialysis dependence.

Conclusions:

• Dual kidney transplantation is a feasible and effective option for managing chronic renal failure.
• Careful selection of both donors (including expanded criteria donors) and recipients is crucial for successful DKT outcomes.
• DKT allows for the utilization of marginal organs, expanding donor pool options.