332.2: Peri-operative surgical outcomes of the first 100 living kidney donors and recipients in Ethiopia.

Abstract

Background: Kidney Transplant is at its early childhood in Ethiopia, only 3 and half years since the first successful surgery. Surgical outcomes of the donors and recipient is an important parameter to assess the center performance. Objective: Determine socio-demographic characteristics, types of surgery, morbidity and types of complications in the first 100 living kidney donors and recipients in the national transplant center of Ethiopia. Methods: A retrospective review and analysis of medical records of the first 100 living kidney donors and recipients was done. Descriptive statistics on socio-demographic and clinical characteristics of the donors and the patients was performed. Results: The 100 transplants were done in 42 months making an average of 29 transplants a year. Males made 52% of the donors. The mean age of donors was 32.8 years (ranged 20-66 years). Siblings were the main donors 44%. After the first 44 hand assisted laparoscopic donor nephrectomy (HALDN) due to cost of consumables we shifted to open flank incision donor nephrectomy. In HALDN conversion rate was 6.7% (3). All nephrectomies were left side. In 90% of the donors the kidney had one artery. Except one patient who developed small bowel obstruction and needed laparotomy all patients were discharged with smooth post operative course. Only one patient was readmitted for symptomatic retro-peritoneal hematoma which required drainage. Regarding the recipients, male made 70% of the recipients. The age of patients ranged from 16 to 62 with a mean of 33.6. The cause of ESRD was unknown in most patients, 62%. The mean BMI of patients was 20 kg/m2. The average time from out of ice to revascularization was 31.5 minutes. SSSI was the commonest postoperative complication seen in 6%. Except two patients with early graft loss, 98% of patients were discharged with functioning graft. Conclusions: the surgical outcomes of both the donor and the recipient is comparable with centers with long years of experience.