R. SANCHEZ ET AL.
Copyright © 2013 SciRes. OJNeph
127
This differs from other reports in the literature, which
present problems between 3.1% and 30%, with vesi-
coureteral reflux being the chief complication [18]. Among
the most frequent collections, lymphocele (10.34%) should
be highlighted, which differs from that reported in adults
(49%) [6]. In all cases, diagnosis and follow-up were by
ultrasound. It should be noted that the graft was lost in
17.24% of cases in our study, a similar situation to that
reported by other series, for example Palacios (25%).
The overall survival rate of the graft was also similar to
Palacios’ data from Chile and Medeiros’ data from
Mexico [4,6]. In the NAPRTCS, the survival rate after 1
and 3 years was 96.5% and 91.5%, respectively, and in
ALANEPE 96% and 93% [14]. At study the mortality
rate of our patients is zero, while Medeiros in Mexico
reported a 4.3% mortality rate and the NAPRTCS a rate
of 4.8% after 3 years [6].
5. Conclusion
The rates of complications in pediatric renal transplanta-
tion surgery in our series and the survival of renal grafts
up to 40 months post-surgery do not differ from other
international series.
REFERENCES
[1] T. Kalblea, M. Lucanb, G. Nicitac, R. Sellsd, F. J. Burgos,
M. Wieselet, et al., “Eau Guidelines on Renal Trans-
plantation,” European Urology, Vol. 47, No. 2, 2005, pp.
156-166. doi:10.1016/j.eururo.2004.02.009
[2] S. P. McDonald and J. C. Craig, “Long-Term Survival of
Children with End-Stage Renal Disease,” The New Eng-
land Journal of Medicine, Vol. 350, 2004, pp. 2654-2662.
doi:10.1056/NEJMoa031643
[3] B. A. Warady, D. Herbert, E. K. Sullivan, et al., “The
1995 Annual Report of the North American Pediatric Re-
nal Transplant Cooperative Study,” Pediatric Nephrology,
Vol. 11, No. 1, 1997, pp. 49-64.
doi:10.1007/s004670050232
[4] J. M. Palacios, P. Rosati, E. Lagos, P. Hevia, S. Rodríguez,
O. Jiménez, I. Turu and K. Cuevas, “Pediatric Renal Trans-
plant: The Experience of a Center,” Chilean Review in
Surgery, Vol. 57, 2005, pp. 483-488
[5] A. Guardiola, F. Sánchez, L. Gimeno, et al., “Urological
Complications in the Renal Transplant. Study in 250
Cases,” Actas Urológicas Españolas, Vol. 25, No. 9, 2001,
pp. 628-636. doi:10.1016/S0210-4806(01)72688-5
[6] M. Medeiros, B. Romero, S. Valverde, R. Delgadillo, G.
Varela and R. Muñoz, “Pediatric Renal Transplant,” Re-
vista de Investigacion Clinica, Vol. 57, No. 2, 2005, pp.
230-236.
[7] A. E. Da Silveira, M. de Almeida, W. Cosenza, A. C.
Amarante, R. de Menezes and E. Schulz, “Renal Trans-
plant in Children: Analytical Study in 25 Cases,” Revista
Cirugia Infantil, Vol. 6, No. 4, 1996, pp. 172-176.
[8] V. Zúñiga and L. Álvarez, “Pediatric Renal Transplanta-
tion in the South Central Specialty Services Hospital (HC
SAE) from PEMEX (México),” Mexican Nephrology,
Vol. 22, No. 2, 2001, pp. 75-82.
[9] F. Cano and P. Rosati, “Pediatric Renal Transplant. A
Decade of Multicentric Experience,” Revista Chilena de
Pediatria, Vol. 72, No. 6, 2001, pp. 504-515.
[10] O. Salvatierra, “Pediatric Renal Transplantation,” Trans-
plantation Proceedings, Vol. 31, No. 4, 1999, pp. 1787-
1788. doi:10.1016/S0041-1345(99)00168-2
[11] R. El Atat, A. Derouiche, S. Guellouz, T. Gargah, R.
Lakhoua and M. Chebil, “Surgical Complications in Pe-
diatric and Adolescent Renal Transplantation,” Saudi
Journal of Kidney Diseases and Transplantation, Vol. 21,
2010, p. 251.
[12] J. Barba, A. Rincón, E. Tolosa, L. Romero, D. Rosell, J.
E. Robles, et al., “Surgical Complications in Renal Trans-
plantations and Its Influence in the Survival of the Graft,”
Actas Urológicas Españolas, Vol. 34, No. 3, 2010, pp.
266-273. doi:10.1016/S2173-5786(10)70059-7
[13] S. P. Lapointe, M. Charbit, D. Jan, S. Lortat-Jacob, J. L.
Michel, D. Beurton, et al., “Urological Complications after
Renal Transplantation Using Ureter Ureteral Anastomosis
in Children,” Journal of Urology, Vol. 166, No. 3, 2001,
pp. 1046-1048. doi:10.1016/S0022-5347(05)65916-2
[14] Latin American Pediatric Nephrology Association, et al.,
“Latin American Registry of Pediatric Renal Transplanta-
tion 2004-2008,” Pediatric Transplantation, Vol. 14, No.
6, 2010, pp. 701-708.
doi:10.1111/j.1399-3046.2010.01331.x
[15] P. Fentes, B. Parra, T. Caamaño, et al., “Post Renal
Transplant Surgical Complications. Study in 185 Cases,”
Actas Urológicas Españolas, Vol. 29, No. 6, 2005, pp.
578-586. doi:10.1016/S0210-4806(05)73300-3
[16] E. Barboza, “Advances in Surgery in the Last 30 Years,”
Revista Diagnostico, Vol. 47, No. 3, 2008, pp. 13-16.
[17] R.M. No 568-2007/MINSA, “The Pilot Program is Created
Renal Transplants from the Ministry of Health,” El Perua-
no, 15 July 2007, 349116.
[18] S. Irtan, A. Maisin, V. Baudouin, Y. Nivoche, R. Azoulay,
E. Jacqz-Aigrain, A. El Ghoneimi and Y. Aigrain, “Renal
Transplantation in Children: Critical Analysis of Age Re-
lated Surgical Complications,” Pediatric Transplantation,
Vol. 14, 2010, pp. 512-519.