Transplantation of adult-size kidneys in small pediatric recipients: A single-center experience.
Adult
Anastomosis, Surgical
Child
Child, Preschool
Female
Glomerular Filtration Rate
Graft Survival
Humans
Immunosuppression Therapy
Kidney
/ anatomy & histology
Kidney Failure, Chronic
/ surgery
Kidney Transplantation
/ methods
Living Donors
Male
Organ Size
Postoperative Complications
/ diagnosis
Renal Artery
/ surgery
Retrospective Studies
Thrombosis
/ etiology
Treatment Outcome
graft survival
pediatric RTx
small children
surgical complications
Journal
Pediatric transplantation
ISSN: 1399-3046
Titre abrégé: Pediatr Transplant
Pays: Denmark
ID NLM: 9802574
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
13
09
2018
revised:
20
01
2019
accepted:
13
02
2019
pubmed:
28
3
2019
medline:
22
4
2020
entrez:
28
3
2019
Statut:
ppublish
Résumé
RTx of adult-size kidneys presents a size mismatch in small pediatric recipients, and there are potential surgical complications. This study reveals the outcomes of intra- and extraperitoneal RTx in low-weight (less than 15 kg) pediatric recipients. We studied 51 pediatric patients weighing less than 15 kg who received a living-related donor renal transplant between 2009 and 2017. The intraperitoneal (group A, n = 24) and extraperitoneal (group B, n = 27) approaches were compared. In group A, the mean age, Ht, and weight were 3.8 ± 1.6 years, 83.7 ± 6.5 cm, 10.5 ± 1.8 kg; in group B, 5.0 ± 1.9 years, 95.3 ± 7.3 cm, and 13.0 ± 1.4 kg. Single renal artery grafts (21 in group A and 16 in group B) and double renal artery grafts (three in group A and 11 in group B) were performed. Of the patients with double renal artery transplants, one in group A and six in group B underwent ex vivo arterial reconstruction. The eGFR (mL/min/1.73 m
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13401Informations de copyright
© 2019 Wiley Periodicals, Inc.