Combined liver and kidney transplantation: Our experience and review of literature

Abstract

Increased awareness of organ donation has increased the availability of deceased donors, and it has boosted the opportunities for treating patients with multiple organ dysfunction. Simultaneously replacing two organs gives advantages of single surgery, lower immunosuppression dose and better survival than when one organ alone is transplanted. We present reports of management of three cases of combined liver and kidney transplantation (CLKT) from deceased donors. Based on management of these cases we discuss the importance of CLKT and anaesthetic concerns during such complex procedures.

Keywords

• Anaesthesia for combined liver and kidney transplant
• intraoperative continuous venovenous hemodiafiltraion
• primary hyperoxalurea
• simultaneous liver and kidney transplant