Diabetes mellitus is a chronic disease with increasing prevalence in the population of thewhole word. Transplantation
of pancreas represents pro tempore the only treatment of Type I diabetes, which can assure long-lasting normal
glycaemia and the independence from the insulin administration. However, transplantation still has higher morbidity
and requires permanent immunosuppression. Authors describe their clinical experience with more than 200 transplantation
of pancreas and they compare them with literary data. They review the basic problems and indications to
the transplantation and in details describe the technique of the operation. Attention is given to the possible
complications and to the immunological side of treatment. As a standard, the surgical technique has been using
combined transplantation of pancreas and kidney. The most widely used method is the transplantation of the whole
gland with a duodenal segment, which enables drainage of pancreatic juices into the intestine of the recipient. Due
to the introduction of new immunosuppressives, it is possible to improve the long-term results of transplantations.
Early diagnostics of the rejection of the pancreatic graft remains a specific problem.
transplantation of pancreas, diabetes mellitus.