Kidney transplantation in children: a 50-case experience
| Autor: | Ubirajara Barroso, Miguel Zerati Filho, Cleverson D'avila, Geovanne F. Souza, Cassio M. Pugas, Paulo Sampaio Furtado |
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| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Adolescent complications Urology graft survival kidney transplantation Dehiscence lcsh:RC870-923 children Medicine Humans In patient Child Kidney transplantation Retrospective Studies Kidney Surgical complication business.industry Arterial stenosis Graft Survival medicine.disease lcsh:Diseases of the genitourinary system. Urology Kidney Transplantation Surgery medicine.anatomical_structure Treatment Outcome Kidney Failure Chronic Graft survival Female business Kidney disease Follow-Up Studies |
| Zdroj: | International braz j urol, Volume: 31, Issue: 6, Pages: 558-561, Published: DEC 2005 International Brazilian Journal of Urology, Vol 31, Iss 6, Pp 558-561 (2005) International braz j urol v.31 n.6 2005 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU |
| Popis: | OBJECTIVES: The aim of this article was to report our experience with kidney transplantation in children. MATERIALS AND METHODS: 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% of the cases (38 patients) and 25% (12 patients) came from cadaver donors. The main complications were ureteral fistula in 6 patients (12%), arterial stenosis in 2 (4%), wall infection and dehiscence in 1 case (2%). The overall rate of surgical complication was 20%. 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% in 1 year, 64% in 3 years and 57% 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. |
| Databáze: | OpenAIRE |
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