[Surgical complications after kidney transplantation. Research based on 185 cases].
OBJECTIVE
To analyze the incidence of surgical complications its diagnosis and treatment after renal transplantation.


METHODS
A retrospective study measuring the incidence of surgical complications and reviewing its diagnosis and treatment in 185 renal single transplants.


RESULTS
185 transplants, 27% had surgical complications. Only one patient lost the graft due to surgical complications and there was no associated mortality. Cold ischemia time 20 hours. Double J stenting in 19%, under surgeon's opinion. Vascular complications 3.2% (all of them renal artery stenosis). Urological complications 6.4%. Perinephric haematoma 7%. Lymphocele 4.9%. Peritoneum related complications 4%. Other 4%. The diagnosis was clinical and radiological in most of cases. 14% needed any kind of intervention.


CONCLUSIONS
Our results are similar to those reported in other recent series. Only one surgical team involved and the same technique for vascular and vesico-ureteric anastomosis probably makes lower our complications rate. Early postoperative abdominal ultrasonography contributes to the diagnosis of surgical complications. The initial treatment approach is the endoscopic-conservative one, with exceptions.
Pérez Fentes
D A
DA
Unidad de Trasplante Abdominal, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela. danielfentes@yahoo.es
Blanco Parra
M
M
Toucedo Caamaño
V
V
Romero Burgos
R
R
Puñal Rodríguez
J A
JA
Varo Pérez
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies