[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:	Ahmed A. Shokeir, Bedeir Ali-El-Dein, Yasser Osman, Mohamed Zahran, Islam Eldiasty
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/d71e1ba106004cf98f61ba3719f7c8b1
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spelling	oai:doaj.org-article:d71e1ba106004cf98f61ba3719f7c8b12021-12-02T08:15:16Z[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–20172090-598X10.1016/j.aju.2018.10.096https://doaj.org/article/d71e1ba106004cf98f61ba3719f7c8b12018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301906https://doaj.org/toc/2090-598XObjective: 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.Ahmed A. ShokeirBedeir Ali-El-DeinYasser OsmanMohamed ZahranIslam EldiastyTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S23-S24 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Ahmed A. Shokeir Bedeir Ali-El-Dein Yasser Osman Mohamed Zahran Islam Eldiasty [49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017
description	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.
format	article
author	Ahmed A. Shokeir Bedeir Ali-El-Dein Yasser Osman Mohamed Zahran Islam Eldiasty
author_facet	Ahmed A. Shokeir Bedeir Ali-El-Dein Yasser Osman Mohamed Zahran Islam Eldiasty
author_sort	Ahmed A. Shokeir
title	[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017
title_short	[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017
title_full	[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017
title_fullStr	[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017
title_full_unstemmed	[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017
title_sort	[49] surgical complications in live-donor paediatric and adolescent renal transplantation: study of risk factors – mansoura experience 1976–2017
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/d71e1ba106004cf98f61ba3719f7c8b1
work_keys_str_mv	AT ahmedashokeir 49surgicalcomplicationsinlivedonorpaediatricandadolescentrenaltransplantationstudyofriskfactorsmansouraexperience19762017 AT bedeiralieldein 49surgicalcomplicationsinlivedonorpaediatricandadolescentrenaltransplantationstudyofriskfactorsmansouraexperience19762017 AT yasserosman 49surgicalcomplicationsinlivedonorpaediatricandadolescentrenaltransplantationstudyofriskfactorsmansouraexperience19762017 AT mohamedzahran 49surgicalcomplicationsinlivedonorpaediatricandadolescentrenaltransplantationstudyofriskfactorsmansouraexperience19762017 AT islameldiasty 49surgicalcomplicationsinlivedonorpaediatricandadolescentrenaltransplantationstudyofriskfactorsmansouraexperience19762017
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[49] Surgical complications in live-donor paediatric and adolescent renal transplantation: Study of risk factors – Mansoura experience 1976–2017

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