Purpose: In recent rears, a pilot program of organ donation after cardiac death (DCD) was initiated in China from general citizens. We describe the first successful series of DCD pancreas transplants in China.

Methods: Sixteen cases of diabetic nephropathy patients received simultaneously pancreas and kidney transplantation, with donors from DCD. All receipts and donors have same blood type and received cross match tests.

Results: All cases of patients were in postoperative 4-6 hours awake, 8-14 hours removal of the ventilator; after 2 days from SICU to common ward began to normal rehabilitation therapy. Serum C-peptide and insulin levels achieved normal range in 1-2 weeks after transplant; blood glucose returned to normal level in 2-3 weeks; creatinine decreased to normal level in postoperative 2 weeks. One case of patients has duodenal intramural hematoma during operation, and the pancreatic graft was removed for safe consideration. Other patients had no serious surgical complications within 2 weeks after transplantation.

Conclusion: DCD donor can be safely used in simultaneously pancreas and kidney transplantation. Pancreas and kidney functions recovered well in the early stage after transplantation, especially for young donors.

CITATION INFORMATION: Hu A, Liao W, Zhang C, Zhu X, He X. Evaluation of Graft Functional Recovery After Simultaneously Pancreas and Kidney Transplantation with Donation After Cardiac Death in China (16 Cases of Report). Am J Transplant. 2017;17 (suppl 3).

« Back to 2017 American Transplant Congress