Retrospective analysis of the first 100 kidney transplants at XXXXXXX XXXX University, Health Application and Research Center

E nd-stage kidney disease is a worldwide health problem that can be defined as a burden, with a prevalence rate of 11-13%. Definitive treatment of end-stage kidney disease is kidney transplantation, which provides better clinical outcomes, including overall survival compared to longterm dialysis treatment. one-year graft survival rate of the transplanted kidney is increased to over 90% by the advances in tissue sampling and immunosuppression. 2016, 89.823 kidney transplant surgeries were performed worldwide. 40.2% of these transplants were from living donors and 59.8% were from deceased donors. linical results of living donor kidney transplantation are two times better than deceased donor kidney transplantation. Paired kidney exchange transplantation is an al-Objectives: The renal transplant program of Istanbul Okan University Hospital started in August 2017. Five cadaveric and 95 living donor kidney transplants have been performed for over 16 months. In this study, we aimed to share our experiences regarding kidney transplantation. Methods: In this study, a retrospective analysis of 100 patients who underwent kidney transplantation at the Istanbul Okan University over 16 months, the Health Application and Research Center was carried out. Patients' demographics, creatinine levels of donors and recipients, co-morbid conditions, postoperative complications, features of arterial anastomosis and arterial variations observed on computed tomography angiography of donor-patient were assessed. Results: Mean age of donor patients was 44.0513.76 (18-71) years. All living donors had computed tomography angiography for assessment of the vascular structure of both kidneys. Accessory right kidney artery was the most dominant vascular variation (16.5%). The primary cause of chronic renal disease was diabetes mellitus (36.4%) and hypertension (15.6%). Mean warm and cold ischemia time was 1.820.44 (1-3) and 40.256.12 (31-57) minutes, respectively. The most observed postoperative complication was stenosis of ureter anastomosis (4.1%). End-to-end arterial anastomosis between renal and internal iliac arteries was the most preferred anastomosis (57.2%). Conclusion: Increasing kidney transplantation, which is the most appropriate treatment in terms of cost-effectiveness, will be beneficial for patient health and economy of the country.