Surgical complications in kidney transplantation and their influence on graft survival

Abad, J. Barba; Mayans, A. Rincón; Eizaguirre, E. Tolosa; Vargas, L. Romero; Costa, D. Rosell; García, J.E. Robles; Bergera, J.J. Zudaire; Polo, J.M. Berían; Piédrola, I. Pascual

doi:10.1016/s2173-5786(10)70059-7

Cited by 9 publications

(17 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(30%) and Barba et al in Spain (38%) [11,12]. The incidence of vascular thrombosis was 10.34%, which is comparable with other series such as El Atat et al [4,11,18].…”

Section: Discussionsupporting

confidence: 76%

See 1 more Smart Citation

Surgical Complications and Evolution of Grafts in Children with Renal Transplantation at Cayetano Heredia National Hospital

Sánchez¹,

Loza²,

Loza³

et al. 2013

OJNeph

View full text Add to dashboard Cite

Objective: This study aims to determine surgical complications and graft outcome in children undergoing renal transplantation at Cayetano Heredia National Hospital (CHNH). Materials and Methods: A case study series focused on the incidence of surgical complications and graft outcome in pediatric patients with end stage renal disease (ESRD) who underwent renal transplant (RT) between December 2007 and March 2011. Results: The study described 29 pediatric transplant patients whose average age was 13.69 ± 3.38 (6.2 -17.9) years. The etiology of end stage renal disease (ESRD) was renal hypoplasia in 12 patients (41.38%), primary glomerulopathy in 10 patients (34.48%), obstructive uropathy in 4 patients (13.79%), vasculitis in 2 patients (6.9%) and hemolytic uremic syndrome (HUS) in 1 (3.45%) patient. There were 11 surgical complications (34.48%): 2 cases of arterial thrombosis, 3 cases of urinary fistula, 3 of lymphocele, 1 of venous thrombosis, urinoma and perineal collection. The follow-up time was 15.84 ± 12.19 months. Graft survival at 12, 24, and 40 months was 89.29%, 77.16% and 77.16%, respectively. Conclusion: Surgical complications and graft survival in pediatric renal transplantation in our series did not differ from other published series.

show abstract

“…(30%) and Barba et al in Spain (38%) [11,12]. The incidence of vascular thrombosis was 10.34%, which is comparable with other series such as El Atat et al [4,11,18].…”

Section: Discussionsupporting

confidence: 76%

“…Surgical complications in renal transplantation are defined as complications that occur during surgery and the postoperative follow-up. They are classified as vascular, urological, and collections and have an incidence ranging from 1% to 38% [9][10][11][12][13][14][15]. RT surgery has been performed in Peru since the 1960s.…”

Section: Introductionmentioning

confidence: 99%

Surgical Complications and Evolution of Grafts in Children with Renal Transplantation at Cayetano Heredia National Hospital

Sánchez¹,

Loza²,

Loza³

et al. 2013

OJNeph

View full text Add to dashboard Cite

show abstract

“…Incidence rates of postoperative bleeding between 6% and 12% (3) have been reported, and they usually occur early after the transplantation. Factors promoting bleeding are, for example, high urea levels, antiaggregant and anticoagulant therapies received by many of the transplant recipients.…”

Section: Discussionmentioning

confidence: 99%

“…Timely diagnosis and appropriate surgical or percutaneous interventions are imperative to avoid an increased risk of morbidity and a threat to transplant outcome (1). The incidence of surgical complications following kidney transplantation ranges from 4.2% to 34% depending on series, and on the types of complications reported in the studies (2, 3).…”

Section: Introductionmentioning

confidence: 99%

Surgical complications following 1670 consecutive adult renal transplantations: a single center study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Las complicaciones quirúrgicas fueron confirmadas mediante ecografía, tomografía computarizada o exploración quirúrgica. La técnica quirúrgica estandarizada queda descrita en trabajos anteriores 8 . Para estudiar la relación del TIF como variable continua con la supervivencia del injerto realizamos un análisis univariado según el modelo de la regresión de Cox.…”

Section: Materials Y Métodosunclassified

¿Existe un intervalo de tiempo de isquemia fría seguro para el injerto renal?

Barba

Zudaire

Robles

et al. 2011

Actas Urológicas Españolas

View full text Add to dashboard Cite

Recibido el 8 de marzo de 2011; aceptado el 13 de marzo de 2011 Accesible en línea el 6 mayo 2011 PALABRAS CLAVETiempo de isquemia fría; Supervivencia del injerto; Trasplante renal ResumenObjetivo: Se pretende caracterizar la verdadera relación del tiempo de isquemia fría (TIF) con la supervivencia del injerto, así como con los principales eventos del postrasplante. Material y métodos: Analizamos 378 trasplantes renales, estudiando la relación del TIF con la supervivencia del injerto mediante un análisis univariado según el modelo de COX, y buscando el mejor punto de corte mediante el método de Kaplan-Meier y test de log-rank. La relación entre TIF y los principales eventos del postrasplante fue estudiada con la regresión logística binaria. Resultados: La media de seguimiento de todo el grupo fue de 77,8 meses (± 51 DE) y el TIF medio de 14,8 horas (± 5,1 DE). El análisis univariado revela que el TIF no se relaciona con la supervivencia del injerto como variable continua (OR = 1,04; IC 95% 0,9-1,08; p > 0,05). Al establecer el punto de corte en las 18 horas encontramos diferencias en la supervivencia actuarial. La supervivencia a los 5 años es del 91% con TIF < 18 h frente a 84% con TIF > 18 h. Cada hora de isquemia fría incrementó un 10% el riesgo de retraso en la función del injerto (OR = 1,1; IC 95%:1,05-1,15; p < 0,001) y también condicionó mayor incidencia de rechazo agudo (41,5% vs. 55,3%; p = 0,02) y menor tiempo hasta el primer episodio de rechazo (72,6 días ± 137 vs. 272,2 días ± 614,8; p = 0,023) a partir de las 18 horas. Con el resto de eventos del postrasplante, tales como complicaciones quirúrgicas o ingresos hospitalarios, el TIF no pareció estar relacionado (p > 0,05). Conclusiones: En nuestra experiencia una isquemia fría menor de 18 horas no parece afectar negativamente la supervivencia del injerto. © 2011 AEU. Publicado por Elsevier España, S.L. Todos los derechos reservados. KEYWORDSCold ischemia time; Graft survival; Kidney transplant Is there a Safe Cold Ischemia Time Interval for the Renal Graft?Abstract Objective: It is aimed to characterize the true relationship of the cold ischemia time (CIT) with graft survival and with the principal post-transplantation events. * Autor para correspondencia.

show abstract

Surgical complications in kidney transplantation and their influence on graft survival

Cited by 9 publications

References 28 publications

Surgical Complications and Evolution of Grafts in Children with Renal Transplantation at Cayetano Heredia National Hospital

Surgical Complications and Evolution of Grafts in Children with Renal Transplantation at Cayetano Heredia National Hospital

Surgical complications following 1670 consecutive adult renal transplantations: a single center study

¿Existe un intervalo de tiempo de isquemia fría seguro para el injerto renal?

Contact Info

Product

Resources

About