پیوند همزمان کبد و کلیه در بیمار مبتلا به نارسایی کبدی و کلیوی در یک بیمار 18 ساله

Introduction: Over the years, renal insufficiency caused by liver disorders was an obstacle to liver transplantation in these patients. After presenting a system for the evaluation of various stages of liver disease, simultaneous transplantation of the liver and kidney is considered an appropriate therapeutic treatment in patients who are at the end stage of the liver disease and have secondary renal failure too. In this study, we report a case of simultaneous transplantation of the kidney and liver. Patient Description: The patient was an 18 years old man who had hepatic insufficiency and recurrent renal stone that was lead to the terminal renal failure. Therefore, he has been undergoing hemodialysis from the previous 8 months ago. After examining the patient, he became a candidate for the simultaneous kidney and liver transplantation. Results: The patient was placed in the position of spinal and general anesthesia was performed after receiving her in the operation room. First, the kidney transplantation team performed the surgical intervention by cutting the Gibson surgery on the left side of the patient. Then, a liver transplantation was performed with Chemokine anesthesia and the donated liver was transplanted. After the operation, the patient was transferred to the intensive care unit for further care. Conclusion: Given the rising life expectancy in patients undergoing simultaneous multi organs transplantations, nowadays simultaneous transplantation of kidney and liver is considered as a selective method among patients with liver insufficiency that should be considered by professionals in this field.