| Theme |
Renal Transplantation in Organ-Sharing-Network |
| Title |
Current status of kidney and combined pancreas-kidney transplantation |
| Author |
Satoshi Teraoka |
IIIrd Department of Surgery, Kidney Center, Tokyo Women's Medical University |
| Author |
Hiroshi Toma |
Department of Urology, Kidney Center, Tokyo Women's Medical University |
| Author |
Katsumi Ito |
Department of Pediatric Nephrology, Kidney Center, Tokyo Women's Medical University |
| Author |
Hiroshi Nihei |
Department of Nephrology, Kidney Center, Tokyo Women's Medical University |
| [ Summary ] |
Kidney transplantation has been established as the treatment for end-stage renal failure and results has been satisfactory. Since the kidney transplants sharing system was organized in 1995, and the transplant act was enacted in 1997, there has been no increase in the number of kidney transplants, whereas kidney transplantation from heart-beating cadaver has been actualized. Hereafter, the increase in the number of kidney transplants is a problem to be solved. The number of diabetic dialysis patients is increasing year by year, and the patients' survival rates are poor. While the long-term results of kidney transplantation for diabetic patients are satisfactory and the number is expected to increase, kidney transplantation alone for diabetic patients can prevent neither diabetic complications nor the recurrence of diabetic nephropathy. Combined pancreas and kidney transplantation is a promising therapeutic modality for diabetic dialysis patients and is expected to prevail in our country as well as European countries. |