Kidney transplantation in children: a 50-case experience
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 a...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Urologia
2005-12-01
|
| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382005000600009 |
| _version_ | 1818598078227152896 |
|---|---|
| author | Miguel Zerati Filho Paulo S. Furtado Ubirajara Barroso Jr Cassio M. Pugas Cleverson D'avila Geovanne F. Souza |
| author_facet | Miguel Zerati Filho Paulo S. Furtado Ubirajara Barroso Jr Cassio M. Pugas Cleverson D'avila Geovanne F. Souza |
| author_sort | Miguel Zerati Filho |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-16T11:57:59Z |
| format | Article |
| id | doaj.art-8926e2854217412a8313a444ef5a9778 |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-12-16T11:57:59Z |
| publishDate | 2005-12-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-8926e2854217412a8313a444ef5a97782022-12-21T22:32:31ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192005-12-0131655856110.1590/S1677-55382005000600009Kidney transplantation in children: a 50-case experienceMiguel Zerati FilhoPaulo S. FurtadoUbirajara Barroso JrCassio M. PugasCleverson D'avilaGeovanne F. SouzaOBJECTIVES: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382005000600009kidney transplantationchildrencomplicationsgraft survival |
| spellingShingle | Miguel Zerati Filho Paulo S. Furtado Ubirajara Barroso Jr Cassio M. Pugas Cleverson D'avila Geovanne F. Souza Kidney transplantation in children: a 50-case experience International Brazilian Journal of Urology kidney transplantation children complications graft survival |
| title | Kidney transplantation in children: a 50-case experience |
| title_full | Kidney transplantation in children: a 50-case experience |
| title_fullStr | Kidney transplantation in children: a 50-case experience |
| title_full_unstemmed | Kidney transplantation in children: a 50-case experience |
| title_short | Kidney transplantation in children: a 50-case experience |
| title_sort | kidney transplantation in children a 50 case experience |
| topic | kidney transplantation children complications graft survival |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382005000600009 |
| work_keys_str_mv | AT miguelzeratifilho kidneytransplantationinchildrena50caseexperience AT paulosfurtado kidneytransplantationinchildrena50caseexperience AT ubirajarabarrosojr kidneytransplantationinchildrena50caseexperience AT cassiompugas kidneytransplantationinchildrena50caseexperience AT cleversondavila kidneytransplantationinchildrena50caseexperience AT geovannefsouza kidneytransplantationinchildrena50caseexperience |