PURPOSE: As increasing overseas
kidney transplant recipients , the post-
transplantation management of these recipients is not unusual. Shortage of
donor information and operative findings is an obstacle to post-
transplant evaluation and management of overseas
transplant recipients . We retrospectively reviewed the post-
transplant clinical manifestation of overseas
transplant recipient , and compared with those of domestic deceased
donor transplant recipient .
METHODS: Sixty overseas
transplant recipients and 39 deceased
donor transplant recipient in our center from January 2002 to August 2006 were enrolled in this study. Among the post-
transplant outcomes, we focused the episodes of post-
transplant complication, acute rejection and
graft functional status .
RESULTS: In comparison of pre-
transplant clinical manifestation, overseas
transplant recipients were more
elderly ,
male predominant and less retransplantation than domestic deceased
transplant cases. Remarkable surgical
complications (35%, 21/60) were observed in overseas
transplant recipients which was significantly higher than those of domestic
transplant recipients (5.1%, 2/39 cases)(P=0.03). The urologic complication was major (14 cases) complication, and intraoperative
hematoma (5 cases) and vascular complication (2 cases) succeed. Interventional
procedure or surgical correction was performed in six recipients with urinary
leakage obstruction. Excluding post-
transplant acute tubular
necrosis , the post-
transplant outcomes, such as
incidence of acute
rejection, graft survival rate and
graft function within post-
transplant 3 year, of overseas
transplant recipient were statistically
similar with these of domestic deceased
donor recipients.
CONCLUSION: Considering that overseas
transplant recipient had high
incidence of surgical or urologic complication, the initial evaluation of post-
transplant recipient was focused on completion of
surgical procedure by using radiologic imaging study.