[Systematic extracapsular transplantectomy of non-functioning renal graft].

Exposition of the experience in our Renal Transplantation Unit with regard to a major problem such as transplantectomy, a technique which our group performs in an entirely extracapsular way. Over a total of 317 renal transplantations, 85 were transplantectomies (26.85%) where secondary renal failure was due to immunological causes in 80% of cases, vascular disease 7.05%, infectious-excretory tract diseases 7.05%, "de novo" renal disease 3.53%, and haemorrhagic picture 2.35%. It should be highlighted from this series the orthotopically placed graft transplantectomy (-- orthotopic transplants and 3 transplantectomies), the simplicity of which is in opposition to the greater difficulty of those positioned in the iliac fossa. Overall results from 18 Spanish Centres are shown in the publication, which contains data from 7,226 renal transplants and 1,112 transplantectomies. An evaluation is made on the mortality rate of our series which was 4.7%, morbidity 10.5% and intra-operative failures which occurred in only three patients.