2002, Number 3
Bol Col Mex Urol 2002; 17 (3)
Cruz RM, Contreras GNI, Jaramillo PR, Kaji KJ, Adame PM, Manifacio RG, Landa SM
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ABSTRACTThe first choice of treatment in patients with chronic kidney failure, at final stage is kidney transplantation. Our task was to review the cases studied and treatment for September 1988 to June 1999. We considered age, sex, blood type, previous treatment ethiology, donor, medical complications and mortality. We performed 146 kidney transplants, age average was 31.7 years old, males 58% and females 42%. The main blood type group was O(+) 64% of the patients. The related living donors was 95.2%. We had no complications in 68%, 12% had medical complications and 20% surgery related complications, from them 9.6% urological and 10.4% were vascular. The Urology Department has participated in 38 cases with 2.6% of urological complications. The total mortality was 9.6% and only 3.2% due to the surgical procedure. The five years survival of the kidney transplant was 56.25%. We decided open surgery to solve urological complications, our complications are equal to those reported in other institutions and were less frequent when the Urology Department was involved in all the cases of kidney transplantation. We certainly believe that, a urological staff should be included in all kidney transplantations furthermore, in our experience we have the believe that it would be help, full to have an organized kidney transplantation institute in order to increase the number of cadaveric donors.