Retroperitoneal pancreas transplantation with a Roux-en-Y duodenojejunostomy for exocrine drainage.

Background: Pancreatic transplantation is the only definitive surgical treatment for diabetes mellitus. Currently, most transplant centers use enteric exocrine drainage of pancreatic secretions; however, experts disagree on which part of the gastrointestinal tract is preferable for enteric anastomosis. We analyzed the outcomes of retroperitoneal pancreatic transplantation with enteric drainage of pancreatic secretions.

Renal cell carcinoma in a transplanted kidney: a retrospective evaluation.

Introduction: Kidney transplantation is the optimal treatment modality for patients with end-stage chronic kidney disease. The long-term mortality of kidney recipients is 48-82% lower than that of patients on the waiting list. However, the risk of developing malignancies in these patients is twice as high as in the healthy population.

[Prevention of colorectal anastomotic leakage using its reinforcement (results of the randomized study)].

Objective: To reduce the incidence of postoperative complications via reinforcement of colorectal anastomosis.

Material And Methods: A randomized prospective study included 115 patients. In the main group (=60), anterior resections were followed by reinforcement of colorectal anastomosis via suturing the muscular and serous layers at 2, 4, 6, 8, 10, 12 o'clock.

[Reinforcement of staple line of colorectal anastomosis for leakage prevention: a systematic review and metaanalysis].

Objective: To evaluate the influence of reinforcement of staple line of colorectal anastomosis on the incidence of leakage.

Material And Methods: A systematic review was performed in accordance with the PRISMA recommendations. Statistical analysis was carried out in the Review Manager 5.

Pancreas transplantation with isolated splenic artery blood supply - Single center experience.

Background: The blood supply of the native pancreas by three arterial lines from the celiac trunk system (splenic artery and common hepatic artery) and the superior mesenteric artery forces surgeons to perform vascular reconstruction to provide sufficient intra-organ blood flow into the graft. The purpose of our study was to assess the possibility of pancreas transplantation with an isolated splenic artery blood supply.

Methods: From January 2012 to July 2018, simultaneous pancreas-kidney transplantation (SPKT) was performed in 21 patients.