ESPN 50th Annual Meeting

ESPN 2017


 
En-bloc kidney transplantation from infant donors into pediatric recipients: A single center experience
ELIF ÇOMAK 1 GÜLSAH KAYA AKSOY 1 MUSTAFA KOYUN 1 BÜLENT AYDINLI 2 AYHAN DINÇKAN 2 SEMA AKMAN 1

1- AKDENIZ UNIVERSITY MEDICAL FACULTY, DEPARTMENT OF PEDIATRIC NEPHROLOGY, ANTALYA, TURKEY
2- AKDENIZ UNIVERSITY MEDICAL FACULTY, DEPARTMENT OF GENERAL SURGERY, ANTALYA, TURKEY
 
Introduction:

En-bloc kidney transplantation (EBT) from infant donors may be a treatment option for children with end stage renal disaese. The aim of this study was to evaluate the clinical outcome of children who received en-bloc kidney from infant donors at our center.

Material and methods:

Medical records of children with performed EBT were reviewed retrospectively from hospital computerized database system.

Results:

8 children with a median age at transplantation of 14.7 years (3.5-17 years) and a median follow-up period of 57.0 months (2-95 months ) were included in the study. Donor age and weight ranged from 7 to 38 months and 4.4 to 15 kg (median 9.5 kg), respectively. All recipients showed immediate graft function. No post-operative thrombotic complications were seen. Urine leakage developed in one patient at the 7nd day of transplantation, which spontaneously resolved after continuously adequate drainage. The size of left and right kidneys increased from 73.37±5.75 mm to 95.66±16.35 mm and 70±8.2 mm to 91.57±19.53 mm, respectively. Only one patient developed acute humoral rejection due to non-adherence at the 15th month of transplantation and had an estimated glomerular filtration rate of 16.5 ml/min/1.73 m2 at the last follow-up. The others had stable graft functions.

Conclusions:

According to our experience, en-bloc kidney transplantation from infant donors into pediatric recipients seems to be safe and effective.