General Surgery

Kidney Transplant
by Prof. Ayhan Dinçkan, M.D.

For ESRD end stage renal disease patients, kidney transplantation is a highly preferred alternative that brings quality to life.

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Prof. Ayhan Dinçkan, M.D.

General Surgery

In this procedure kidney from a living donor who is usually a family member or from a deceased donor is transferred to the receiver with kidney failure.

This is a fairly safe surgery with around 99% success rate unless the procedure is performed by an experienced team in a well-established Kidney Transplantation Center.

Diagnose

When your physician following you for renal disease (who generally is a Nephrologist) diagnoses ESRD, you will be informed about treatment options and you will only be recommended kidney transplantation if your condition is suitable for transplantation. That means not all ESRD patients can go through Kidney Transplantation. Eligible patients are prepared for transplantation surgery while they continue to receive dialysis.

Donor

A related living donor is generally a healthy family member who has similar genetic material with the receiver. Transplant team considers medical test results and several other factors while evaluating if the potential donor is a good match. The degree of relation is ethically an important factor that Ethical Committee of the Transplant Center places a great importance and examines carefully.

There is a false belief that after the transplantation donor may face health issues regarding the donated kidney but this is totally incorrect. Donor continues his life as it was before the surgery, without any side effects.

Procedure

Just like any surgery Kidney Transplantation surgery has risks but the procedure itself can’t be named as a very complicated/ complex operation, but the period after the surgery is very critical and requires knowhow and experience. The success of the treatment depends on the care of the team to watch the new kidney functioning properly and body s not rejecting the new organ.

Receiver is expected to stay in the hospital 5-7 days after the surgery. The main focus of physicians and nurses at this stage is watching the adaptation of the new organ to the body and the performance of it.

While patients receive a number of medications called immunosuppressants that prevent natural defense mechanism of the body to attack the transplant tissue, they also become open to infections. The distinction in between reputable and average Transplant Centers lie at how well they manage this stage of their patients. 

After Discharge

After a successful kidney transplantation, patients continue to receive medications and stay under the monitorization of their Nephrologist for the rest of their lives. Through routine periodical laboratory tests and by physical examination, Nephrologists adjust their prescriptions.

Prof. Ayhan Dinçkan, M.D.

General Surgery
  • Medical School, Trakya University
  • General Surgery, Akdeniz University
  • Organ Transplantation, Akdeniz University Organ Transplantation Institute
  • Professor since 2014
  • Works in İstanbul
  • Head of İstinye University Bahçeşehir Medicalpark Organ Transplantation Center

As a surgeon he has performed nearly 6.000 operations, he focused on organ transplantation for the last 15 years. Besides kidney operations which constitutes the majority of this practice, he also reached above 1.000 liver and pancreatic transplants. In addition to adults, he also works with Pediatric cases that constitutes around 15% of all kidney operations.

Among regular cases, his practice also includes

  • cross-over transplantation,
  • desensitization in immunologic risk (high PRA) patients,
  • transplant from oldest donor
  • dual transplant from marginal donor
  • low weight child receiver
  • En-Block transplant from pediatric cadaver

After the blood and LCM tests, candidates receive a psychiatric consultation in his center. Assuring these prerequisite criteria, receiver and donor are examined by both the surgeon and Nephrologist.

Prof. Ayhan Dinçkan underlines that thanks to new generation pharmaceuticals, today their experience and knowhow lets them treat patients that have “positive cross match”. Compatible blood type is more critical than HLA incompatibility but even for incompatible blood type there are solutions.

Prof. Dinkan prefers Cross-over Transplant as the first choice at which 2 pairs of donor-receiver go through surgery by cross donating their organs. His team has also the capability to perform ABO Incompatible Transplantation in case the level of antibody of patient against the donor kidney’s blood type is treatable, but since ABO transplant has significantly higher risk of rejection, he addresses this method as a secondary alternative.

Prof. Dinçkan highlights Turkey as one of the best destinations for Kidney Transplant addressing quality and cost: “Organ Transplant Centers in Turkey have very high medical quality and very successful surgical results. We are number 2 of the World in liver transplant and among the leading countries in kidney transplants”. Referring the cost of treatment of kidney transplant, he states the treatment it is almost 4 times less costly when compared to other developed countries is kidney transplant is in our country. “

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