ĐÁNH GIÁ KẾT QUẢ HỒI SỨC SAU GHÉP THẬN TỪ NGƯỜI CHO SỐNG TẠI BỆNH VIỆN QUÂN Y 175

Abstract

Objectives: To describe clinical and paraclinical characteristics and to evaluate complications during postoperative critical care after living donor kidney transplantation at Military Hospital 175. Methods: A retrospective, descriptive study was conducted on 50 patients who underwent living donor kidney transplantation at the Surgical ICU of Military Hospital 175, including patients ≥ 18 years who underwent kidney transplantation from July 2023 to June 2025. Results: the mean age was 42.3 ± 12.1 years; 68% patients were male; the mean BMI was 21.35 ± 2.52 kg/m². Most patients had chronic comorbidities and prolonged pre-transplant dialysis. No severe respiratory complications occurred postoperatively. Vasopressor support was required in 2% of cases. Hypertension requiring treatment was observed in 86% of cases. Early postoperative polyuria and electrolyte disturbances occurred but resolved quickly; serum urea and creatinine levels approached near-normal values by day 3. Complications were observed in 12% of patients (n = 6), including postoperative bleeding requiring reoperation (n = 2), lymphocele (n = 2), and acute rejection (n = 2). Conclusion: Living donor kidney transplantation carries considerable complication risks during the post-resuscitation period. Close postoperative monitoring is essential for timely detection and intervention to optimize outcomes.