Rh-positive patients receiving kidney grafts from Rh-negative cadaver donor: a report of two cases and literature review

  Objective  To discuss the safety of Rh-positive patients receiving kidney grafts from Rh-negative cadaver donor.

  Methods  On November 29^th 2013, two Rh-positive patients received renal transplantation with kidney grafts from Rh-negative cadaver donor at the Department of Urinary Surgery of Xijing Hospital, the Fourth Military Medical University. The clinical data of the two patients were analyzed retrospectively and the relevant literatures were reviewed.

  Results  The two patients underwent renal transplantation successfully and no hyperacute rejection or acute rejection occured after the surgery. The two patients were followed up for 12 months. The kidney grafts survived well and the patients had no obvious discomfort.

  Conclusions  Through enhanced immunosuppression before operation, sufficient perfusion and close postoperative monitoring, it is safe for Rh-positive patients receiving kidney grafts from Rh-negative cadaver donor.