[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017
Objective: To report the surgical complications amongst our paediatric and adolescent renal transplant patients and to analyse the different factors that may influence the occurrence of complications. Methods: Between March 1976 and August 2017, 2867 live-donor renal transplants were carried out at...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Taylor & Francis Group
2018
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/d71e1ba106004cf98f61ba3719f7c8b1 |
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| Sumario: | Objective: To report the surgical complications amongst our paediatric and adolescent renal transplant patients and to analyse the different factors that may influence the occurrence of complications. Methods: Between March 1976 and August 2017, 2867 live-donor renal transplants were carried out at Mansoura Urology and Nephrology Center, Egypt, of whom 649 were children and adolescents. The present study included 500 children and adolescents who completed at least 3 years of follow-up (1976–2013). We studied the risk factors for occurrence of surgical complications in terms of bi- and multivariable analyses. Results: The recorded surgical complications were urinary leakage in 4%, ureteric obstruction in 4.4%, graft ureteric stone in two patients, symptomatic lymphocoele in 3.2%, renal artery stenosis in two patients, renal vein thrombosis in two patients, and haematoma requiring exploration in six patients. Using multivariable analysis, the type of primary urinary continuity was the only significant independent risk factor of surgical complications, with the technique of Lich-Gregoir giving the best results. Surgical complications had no impact on patient or graft survival. Conclusion: Primary urinary anastomosis is the only risk factor that affects the incidence of surgical complications amongst paediatric and adolescent live-donor renal transplants, with the technique of Lich-Gregoir giving the best results. |
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