RESUMO
From September 1980 until October 1995 we have performed 100 renal transplant on 95 patients. Up to May of 1996 the medium follow-up was of 69.7 months (in a range of: 15 to 196 months). Seventy-nine kidney implants were performed from related living donors and 21 from dead donors. The average age of recipients was 35.8 years (SD: +/- 12.5 years). Chronic renal insufficiency of recipients is reviewed as well as their accompanying pathology. We found that in a 20% of the cases the donor's kidney had multiple renal arteries. In most of the ureteral vesical implantations were performed with Salvatierra's technique. Preservation cold time for the cadaveric donor kidneys was over 24 hours. In only a 33% of the cases Cyclosporine was used as the immunosuppression therapy. The 9% of ureteral complications are outlined. TBC is an important cause of complications and death of patients. To date there are 76 functioning kidney allografts and 14 lost graft kidneys. Ten patients have died, 3 of them with functional graft kidney. Actuarial graft survival rate for 1, 5 and 10 years are 92.7%, 78.7% and 59.3% respectively.
Assuntos
Transplante de Rim/estatística & dados numéricos , Adulto , Feminino , Rejeição de Enxerto/prevenção & controle , Humanos , Imunossupressores/uso terapêutico , Transplante de Rim/efeitos adversos , Transplante de Rim/mortalidade , Masculino , Pessoa de Meia-Idade , Espanha/epidemiologiaRESUMO
Revisamos 118 adenocarcinomas renales operados en un período de 20 años, con un seguimiento entre 1 y 20 años. La edad, sexo, sitio anatómico, diámetro tumoral y tiempo sintomático no influyeron en la sobrevida. Esta fue mejor a menor estadio tumoral, existiendo dfiferencias significativas en la sobrevida a 10 años, entre el estadio IIIa (58 por ciento) y IIIb (0 por ciento). Similares diferencias mostró el grado de Skinner (56,3 por ciento el grado bajo y 24,5 por ciento el grado alto) y el grado de Broders (54,5 por ciento el grado bajo y 13,7 por ciento el grado alto), corvirtiéndose ambos en exelentes factores pronósticos. No hubo diferencias estadísticas en la sobrevida según tipo histológico y arquitectura tumoral. El principal tratamiento fue la nefrectomía radical (70 por ciento), no encontándose diferencias según vía de abordaje