Outcome of Simultaneous Liver–Kidney Transplantation: A Single-center Study
Ronak Bhalodia, Devang Patwari, Himanshu Patel, Prakash Darji, Kamal Goplani, Jainam Shah, Nishi Patel, Ritham Patel, Malav Gohil, Gopi Kakadia, Abhishek DomdiaBackground:
Simultaneous liver–kidney transplantation (SLKT) is a complex but life-saving procedure for patients with combined liver and kidney failure. The present study evaluates the outcomes of SLKT in a single-center setting.
Methodology:
This was a retrospective analysis of six patients who underwent SLKT at Zydus Hospital, Ahmedabad, between May 2023 and December 2024. Primary outcomes included patient survival, graft function, and postoperative complications.
Results:
Out of the total six recipients, five patients had normal renal function at the time of discharge, and one patient underwent graft nephrectomy for cortical necrosis. All patients completed a 3-month posttransplant duration with a normal functioning graft. Patients who completed a 12-month duration had no episodes of rejection, and one patient had renal allograft dysfunction related to lack of treatment adherence. Overall, there was no mortality among these patients. One patient developed cytomegalovirus infection, and one patient developed transplant renal artery stenosis.
Conclusion:
SLKT is a viable option for patients with concurrent end-stage liver and kidney disease, with favorable outcomes.