Kidney transplantation in children: a 50-case experience
Int. braz. j. urol
;
31(6): 558-561, Nov.-Dec. 2005.
Artículo
en Inglés
| LILACS
| ID: lil-420484
RESUMO
OBJECTIVES:
The aim of this article was to report our experience with kidney transplantation in children. MATERIALS ANDMETHODS:
From June 1980 to December 2003, 690 kidney transplants were performed in our institution, among which 50 were in patients with less than 18 years old. Technical aspects as well as clinical and surgical evolution were reviewed in this study.RESULTS:
Patient's mean age was 12 years (2-17 years). Twenty-nine patients were male and 21 female. Live related donors were responsible for 75 percent of the cases (38 patients) and 25 percent (12 patients) came from cadaver donors. The main complications were ureteral fistula in 6 patients (12 percent), arterial stenosis in 2 (4 percent), wall infection and dehiscence in 1 case (2 percent). The overall rate of surgical complication was 20 percent. No case of hyperacute rejection was reported. During the follow-up 20 grafts were lost due to chronic rejection and 2 patients died. No loss of graft due to surgical complications was reported. The graft survival rate was 71 percent in 1 year, 64 percent in 3 years and 57 percent in 5-year follow-up.CONCLUSIONS:
Kidney transplantation in children is a viable treatment option for terminal kidney disease presenting success and surgical complication rate similar to kidney transplantation in adults.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Trasplante de Riñón
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adolescente
/
Niño
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2005
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Urology and Nephrology Institute/BR
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