• Organ Transplantation Center, The Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China;
YEQi-fa, Email: yqf_china@163.com
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Objective To investigate the decision of combined liver and kidney transplantation (CLKT) after renal transplantation, provide surgical therapeutic experience for those patients with liver and renal insufficiencies and hepatorenal syndrome and summarize the risk factors, demerits and merits, and operative indications of CLKT. Methods The data of three successful CLKT cases of our centre from Feb. 2014 to Jan 2015 were retrospectively analyzed, and these three patients had kidney transplantation before. We also reviewed the latest associated literatures. Results Three patients got successful operations of CLKT and had very good recovery of renal function several days ofter operaton. Two of them discharged a few weeks after surgery, and one of these two patients got severe pulmonary infection of fungus two month after CLKT but recovered under proper therapy finally. The third patient died of severe mixed infection one month after CLKT. Conclusions The surgical techniques and rejection are not the main impact factor to the prognosis of CLKT after renal transplantation. Infection is the biggest trouble to which we should pay most of our attention. We should decide whether to do synchronous or nonsynchronous CLKT according to the situation before surgery. Moreover, the systematic therapy administration after CLKT is very necessary for the patients' long-term survival.

Citation: MINGYing-zi, LIUHong, ZHUANGQuan, SHEXing-guo, NIUYing, SHAOMing-jie, ZHANGPeng-peng, ZENGQi-hong, ZHOUWei, YANGMin, YEQi-fa. A Report of 3 Cases and Literature Review of Combined Liver and Kidney Transplanta-tion after Renal Transplantation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(9): 1036-1041. doi: 10.7507/1007-9424.20150273 Copy

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