[Indications and contraindications for kidney transplantation].

The indication for renal transplantation has to be made individually in every single case, considering the few absolute contraindications (tumors, acute infections and the presence of cyto-toxical antibodies) and the general risks. Chances of success, resulting from the EDTA-statistics from 1979 concerning the survival rate of patients and the functional rate of the transplant of donors deceased or alive, are discussed as well as possible complications. The good rehabilitation of successfully transplanted patients must be especially emphasized. Risk factors are: advanced age, adipositas, cardio-vascular and pulmonary lesions as well as gastro-intestinal disease in the past and diabetes mellitus with certain reservation. The possible effects the the transplant caused by the underlying disease leading on renal insufficiency and systemic diseases which limit the indication are outlined and discusssed. Good interdisciplinary cooperation in the pre- and postoperative phase is necessary.