本邦膵移植症例登録報告（2018）

摘要

A total of 354 cases of pancreas transplantation from deceased, non-heart beating and living-related donors were performed in 18 institutions in Japan between April, 2000 and the end of 2017. The following donor- and recipient-related factors were analyzed: age and gender of donor and recipient, cause of death, histories of diabetes and dialysis, waiting period, total cold ischemic time, operative procedure, immunosuppression and survival rates of patient and graft. We showed the current status of pancreas transplantation in Japan. Although the donor conditions have improved every year, they are still mostly marginal. However, the outcome of pancreas transplants was considered to be comparable to that of the US and Europe. The most critical problem was that the pancreas graft survivals of PAK and PTA were significantly poorer than that of SPK. We should propose our original safety criteria for pancreas transplants to achieve long-term graft survival.