[Anesthesia for fourteen cases of auto-renal transplantation]

We experienced anesthetic management of 14 cases of auto-renal transplantation. The causative diseases are stenosis (n = 7) and aneurysm of the renal artery (n = 5) as well as renal cancer (n = 2). The mean time intervals for operation, anesthesia, and clamping of the renal artery were 10 h 54 min, 12 h 42 min and 4 h 14 min, respectively. In the patients whose serum creatinine values were above 1 mg.dl-1 within the 3rd postoperative day, time intervals for operation and anesthesia were significantly longer than in the patients whose serum creatinine values remained below 1 mg.dl-1. The water balance in the former patients was significantly positive in comparison with the latter patients. The auto-renal transplantation is a highly invasive surgery so that proper fluid management and sufficient urination seem to be especially important for the perioperative management of patients of this category.