[Surgical aspects of kidney transplantation in children (study of 148 cases)].
OBJECTIVE
Kidney transplantation is the best treatment for end-stage renal disease. This procedure is by now routinely used and permits children survival and rehabilitation. We describe the surgical complications of kidney graft in our paediatric experience.


METHODS
From April 1987 to August 2000, 175 kidney transplantation were proceeded in the department of urology and transplantation in Edouard Herriot Hospital (Lyon). Twenty-nine kidneys (17%) were from living related donors and 146 (83%) were from cadaveric donors. We evaluated 148 kidney transplantation (132 patients) in 79 male and 53 female children. Mean age was ten years (range: seven months to 18 years). Twelve allografts were from living related donors and 136 cadaveric donors.


RESULTS
Twelve patients died of various medical complications. One patient was lost of sight. Surgical complications were postoperative bleeding, lymphocele, urologic and digestive troubles. The rest of our patients had uneventful evolution.


CONCLUSIONS
A general commitment is the only way to promote organ donation and enable patients with terminal renal failure to have access to renal transplantation.
Bouhafs
A
A
Service d'urologie et de la transplantation, hôpital Edouard-Herriot, place d'Arsonval, 69437 Lyon, France. samiraothmani@iam.net.ma
Fassi-Fehri
H
H
Ranchin
B
B
Cochat
P
P
Martin
X
X
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D011183:Postoperative Complications; D011379:Prognosis; D016896:Treatment Outcome