Kidney transplantation in children: a 50-case experience

Filho, Miguel Zerati; Furtado, Paulo S.; Barroso, Ubirajara; Pugas, C.M.D.; D'Avila, Cléverson Luiz Rocha; Souza, Geovanne F.

doi:10.1590/s1677-55382005000600009

Cited by 4 publications

(1 citation statement)

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“…For larger children, the anastomosis procedure does not differ significantly from the adult technique [22]. In infants and young children, however, this may not be possible, as these patients may not yet be weight-bearing with the resultant increase in size of vessels supplying the lower limb, making these unsuitable for anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Donor-Recipient Size Mismatch in Paediatric Renal Transplantation

Donati-Bourne

Roberts

Coleman

2014

Journal of Transplantation

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Introduction. End stage renal failure in children is a rare but devastating condition, and kidney transplantation remains the only permanent treatment option. The aim of this review was to elucidate the broad surgical issues surrounding the mismatch in size of adult kidney donors to their paediatric recipients. Methods. A comprehensive literature search was undertaken on PubMed, MEDLINE, and Google Scholar for all relevant scientific articles published to date in English language. Manual search of the bibliographies was also performed to supplement the original search. Results. Size-matching kidneys for transplantation into children is not feasible due to limited organ availability from paediatric donors, resulting in prolonged waiting list times. Transplanting a comparatively large adult kidney into a child may lead to potential challenges related to the surgical incision and approach, vessel anastomoses, wound closure, postoperative cardiovascular stability, and age-correlated maturation of the graft. Conclusion. The transplantation of an adult kidney into a size mismatched paediatric recipient significantly reduces waiting times for surgery; however, it presents further challenges in terms of both the surgical procedure and the post-operative management of the patient's physiological parameters.

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Section: Discussionmentioning

confidence: 99%