[Surgical procedure and urologic complications after 922 kidney transplantations: our experience].

Between January 30 1971 and January 30 2011 922 kidney transplants were performed at our center, 360 (39%) from living related donor and 562 (61%) from cadaver. During first eight years an ureteroureterostomy was routinely used. The notable incidence of urological complications (fistula 11%, complications of stenting 10.

[Pseudoaneurysm after renal transplantation].

Aims: Renal arterial pseudoaneurysm is a rare complication of renal transplantation that often causes a graft loss. A recent successful outcome of the operative treatment and a reappearance of a pseudoaneurysm and a possibility of watchful followup of pseudoaneurysm encouraged us to present our modest experience with pseudoaneurysm after renal transplant.

Material And Methods: In our series of 843 renal transplants performed during 37 years vascular complications were observed in 57 (6.

[Carcinoma of the Bellini duct with an unusual clinical picture].

A 37-year-old male patient presented with a Bellini duct carcinoma, at first as a metastatic illness of the paraaortal lymph nodes, without significant radiologic signs of a kidney tumor. Cytological diagnostics did not recognize this tumor. Macroscopically and microscopically the tumor fulfilled the major and minor criteria of Sringly et al.

[Evaluation and selection of candidates for renal transplantation at the Clinical Hospital Center in Rijeka].

On December 31, 2001, 2486 patients with terminal renal failure received dialysis treatment in Croatia. Only one third of the patients are registered on the national waiting list for cadaveric kidney transplant. In most of the others, transplantation is impossible because of comorbidity.

[pp65 antigenemia in evaluation of cytomegalovirus infection after kidney transplantation].

Introduction: Cytomegalovirus (CMV) infection is the most common infectious complication after organ transplantation. Serology is useful only for detecting previous CMV infection. Dissatisfied with serologic follow-up after kidney transplantation, three years ago we introduced detection of CMV antigenemia by an immunocytochemical method using a monoclonal antibody specific for the pp65 CMV matrix protein.

Vascular complications after 725 kidney transplantations during 3 decades.

Among 725 renal transplantations, the most common vascular complication was arterial stenosis, which was observed in 23 patients (3.17%). The majority of 20 (6.

[Cadaveric kidney transplantation in patients over 60 years of age].

By technological progress, changing reason and acceptance of patients to dialysis, number of older patients was significantly increased. The first transplantation of patient older than 60 years made in Rijeka 1981. From 1972 to 31.

Perforin expression in peripheral blood lymphocytes in rejecting and tolerant kidney transplant recipients.

Perforin (P) is a cytolytic molecule expressed in the granules of cytolytic T cells and natural killer cells. Although cytotoxic cells have been implicated in graft rejection, no prospective clinical study has been published that examines the dynamics of perforin expressing cells in peripheral blood lymphocytes of transplanted patients. The cytofluorimetric assay developed in our laboratory previously for the simultaneous detection of intracellular perforin together with cell surface molecules was used for posttransplantation monitoring of patients, for the assessment of the efficiency of immunosuppressive treatment, and for the prediction of acute kidney transplant rejection and the stability of tolerance to long lived kidney transplants.

The diagnostic capacity of serum amyloid A protein for early recognition of kidney allograft rejection.

We used new micro-ELISA test with sequence-specific antibody for every day monitoring of serum amyloid A protein (SAA) in 20 patients with kidney allografts in order to facilitate an early diagnosis of rejection. Altogether 44 SAA peaks were observed (beside those caused by surgery) and 22 of them were caused by allograft rejections. When allograft rejection occurred in postsurgical period (first 4 days), SAA levels rose to mean 706 +/- 161 mg/l while initial SAA peaks (caused by surgical trauma) reached the mean value 306 +/- 55 mg/l.

Organ transplantation at the Rijeka Clinical Medical Center--from kidney to pancreas.

From January 1971 to January 1994 the authors performed 560 kidney, and two simultaneous pancreas and kidney, transplantations at the Rijeka Clinical Medical Center. Three hundred and nine kidneys (55%) were from a related living donor (two from unrelated living donors), while 253 (45%) kidney and two pancreas grafts were from cadaveric donors. Analyzing the mean patients' age at the time of transplantation the authors noticed its steady increase over five-year periods, a decrease of chronic glomerulonephritis from 76% to 60%, and a gradual increase in diabetic nephropathy from 0 to 6%.

[Kidney transplantation in Croatia].

This review first presents historical data regarding clinical kidney transplantation in the world and in Yugoslavia. The need for kidney transplantation in the Socialist Republic of Croatia is estimated to be 250 per year while 50-60 are performed annually. A total number of kidney transplantations performed in Yugoslavia amounts to about 750, the center in Rijeka being the most active with 427 transplantations performed till the end of unts to About 750, The center in Rijeka 1988.

[Renal transplantation--a possible factor in the development of circulatory insufficiency in the lower extremities].

The major subjects of this presentation are: 1. Angiological aspects of living and cadaveric transplant donor; 2. The possibilities and importance of angiosurgical procedures during the transplantation operation; 3.

[Emergency surgical conditions after kidney transplantation].

During the period from 30. 01. 1971 to 30.

[Reoperation after kidney transplantation].

On Surgical Clinic KBC and Medical faculty at Rijeka in the period from 30.01.1971 to 30.