Influence of long-term dialysis treatment on operative complications after renal transplantation.
BACKGROUND
We sought to assess the influence of long-term dialysis treatment on operative complications after kidney transplantation.


METHODS
We identified and prospectively followed 2 groups of patients who underwent renal transplantation: group I were on dialysis <5 years and group II, >15 years. We compared the groups regarding mismatches, residual diuresis, operative and medical complications, as well as duration of hospitalization after transplantation.


RESULTS
Groups I and II included 36 and 24 patients with 33.3% and 45.8% female of mean ages at transplantation of 49 (range, 9-73) and 45 (range, 27-56) years, respectively. Group I contained 9 seniors and 4 subjects <18 years. There were no significant differences in mean donor age, number of marginal donors, mismatches, postoperative bleeding, wound infections, urine leakage, or duration of hospitalization. However, the number of postoperative lymphoceles was significantly higher in group II: 5 (20.8%) versus 1 (2.7%) (P = .01). Graftectomy was performed in 2 group II patients including 1 primary graft nonfunction, and another for recurrent focal segmental glomerulosclerosis.


CONCLUSIONS
Our results suggested that the duration of dialysis treatment was not a significant factor for postoperative complications and prolonged hospital stay, except for an increased risk of lymphocele formation.
Mokos
I
I
Department of Urology, University Hospital Center Zagreb, Croatia. ivica.mokos@zg.t-com.hr
Basic-Jukic
N
N
Kastelan
Z
Z
Kes
P
P
Pasini
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006406:Hematoma / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D007674:Kidney Diseases / Q000145:classification / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D006435:Renal Dialysis / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000453:epidemiology; D013997:Time Factors; D014850:Waiting Lists