Safe Renal Transplantation to the Extraperitoneal Cavity in Children Weighing Less Than 15 kg

Hata, Keisuke; Ishida, Hideyuki; Ishizuka, Kiyonobu; Unagami, Kohei; Kanzawa, Taichi; Omoto, Kazuya; Shimizu, Tomokazu; Miura, Kenichiro; Hattori, Motoshi; Tanabe, Kazunari

doi:10.1016/j.transproceed.2021.12.038

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Finally, a total of 23 studies were included in this systematic review (Fig. 1) [9][10][11]12,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31].…”

Section: Search Resultsmentioning

confidence: 99%

Postoperative surgical complications after pediatric kidney transplantation in low weight recipients (<15 kg): a systematic review

Prudhomme¹,

Mesnard

Abbo

et al. 2023

Current Opinion in Organ Transplantation

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Purpose of review Kidney transplantation in low-weight recipients (<15 kg) is a challenging surgery with special characteristics. We proposed to perform a systematic review to determine the postoperative complication rate and the type of complications after kidney transplantation in low-weight recipients (<15 kg). The secondary objectives were to determine graft survival, functional outcomes, and patient survival after kidney transplantation in low-weight recipients. Methods A systematic review was performed according to preferred reporting items for systematic reviews and meta-analyses. Medline and Embase databases were searched to identify all studies reporting outcomes on kidney transplantation in low-weight recipients (<15 kg). Results A total of 1254 patients in 23 studies were included. The median postoperative complications rate was 20.0%, while 87.5% of those were major complications (Clavien ≥3). Further, urological and vascular complications rates were 6.3% (2.0–11.9) and 5.0% (3.0–10.0), whereas the rate of venous thrombosis ranged from 0 to 5.6%. Median 10-year graft and patient survival were 76 and 91.0%. Summary Kidney transplantation in low-weight recipients is a challenging procedure complicated by a high rate of morbidity. Finally, pediatric kidney transplantation should be performed in centers with expertise and multidisciplinary pediatric teams.

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“…Finally, a total of 23 studies were included in this systematic review (Fig. 1) [9][10][11]12,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31].…”

Section: Search Resultsmentioning

confidence: 99%

Postoperative surgical complications after pediatric kidney transplantation in low weight recipients (<15 kg): a systematic review

Prudhomme¹,

Mesnard

Abbo

et al. 2023

Current Opinion in Organ Transplantation

View full text Add to dashboard Cite

show abstract

“…On the other hand, IRT is believed to have disadvantages, including increased risks of ileus and twisting of the renal allograft due to its hypermobility in the abdominal cavity (6,7). Thus, ERT became popular in some transplantation centers (8)(9)(10)(11)(12)(13)(14)(15). These centers believe ERT provides advantages such as the reduced There were 79 patients in this group.…”

Section: Discussionmentioning

confidence: 99%

Does recipient weight and surgical approach really matter in pediatric renal transplantation?

Eren

Dınçkan

2023

Journal of Health Sciences and Medicine

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Aim: To compare the outcomes between low-weight (15 kg) children who underwent renal transplantation (RT) and investigate the impact of the surgical approach (intraperitoneal or extraperitoneal RT). Material and Method: This study was designed as an observational single-centre study and was conducted in Istinye University Hospital, Istanbul, Turkey, between January 2018 and June 2021. Data including age, gender, weight, surgical approach (intraperitoneal/extraperitoneal), complications, length of hospital stay, graft and patient survival were collected. Low-weight (LW) and normal-weight (NW) patients were compared. A p value less than 0.05 was considered statistically significant. Results: Overall, 107 (33 LW and 74 NW) patients aged between 1 and 17 were included. The LW group had a significantly lower age and a significantly longer duration of intensive care unit (ICU), and inpatient floor stays than the NW group (p

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Safe Renal Transplantation to the Extraperitoneal Cavity in Children Weighing Less Than 15 kg

Cited by 2 publications

References 21 publications

Postoperative surgical complications after pediatric kidney transplantation in low weight recipients (<15 kg): a systematic review

Postoperative surgical complications after pediatric kidney transplantation in low weight recipients (<15 kg): a systematic review

Does recipient weight and surgical approach really matter in pediatric renal transplantation?

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