Are There Still Surgical Limits to Kidney Transplantation

Even if surgical complications are higher than in general population, overall survival in obese kidney recipients is better than in obese dialyzed patients with a body mass index up to 35 [2]. Moreover, third and fourth KT is becoming commonplace [3]. Surgical techniques are various in the literature. Some authors use a trans-peritoneal midline incision others use a retroperitoneal heterotopic approach. The overall surgical complications rate is about 25% without graft loss reported. Now we have come to fifth KT in patients whose life expectancy lengthens and in whom the progress of immunosuppression allows re-transplantation [4].

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