Trasplante renal en la fundacion Prof. Dr. Jose Maria Mainetti

Out of 162 kidney transplants performed in the Organ Transplantation Programme of the National University of La Plata, over a 127 - month period, 50 (30.86%) were carried out at the Solid Organ Transplantation Institute of the Fundación José Maria Mainetti over a 27 - month period. Of the series presented, 25 transplantations were performed with LRD and 25 with CD. Receptor mean age was 37.98 years old, male/fem ratio: 1.17. TCRI was similar to the ones of other series. X time in the waiting list: 36.04 months. CET was the main cause for CD. The 88% of cadaveric kidneys implanted had longer than 24 hours of cold ischaemia. The mean age for LRD belongs to the fourth decade with female prevalence. Surgical tactics and technique were the ones ordinarily described. Immunosuppresive treatment was with triple therapy. There was ATN in the 24% of CD and 2% in LRD. There was rejection in 52% of transplanted patients, 30% of them being resistent to steroids. Respiratory and urinary infections were the most frequent ones. It was observed 8% of lymphoceles, 8% of urinary filtration and 2% of arterial complications. 18% of patients died, being sepsis the most frequent causes of death. Overall actuarial survival of patients was 83.94%, and of transplanted kidneys it was 74.61% at the end of the period.