Adult Kidney Transplantation of Pediatric En bloc Kidneys Using a Partial Bladder Wall.
10.4285/jkstn.2015.29.3.170
- Author:
Seung Hwan SONG
1
;
Juhan LEE
;
Woong Kyu HAN
;
Yu Seun KIM
;
Kyu Ha HUH
Author Information
1. Department of Transplantation Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. KHHUH@yuhs.ac
- Publication Type:Case Report
- Keywords:
Kidney transplantation;
En bloc kidneys;
Pediatric donor
- MeSH:
Adult*;
Female;
Humans;
Infant;
Kidney Failure, Chronic;
Kidney Transplantation*;
Kidney*;
Male;
Middle Aged;
Quality of Life;
Tissue Donors;
Transplants;
Ureter;
Urinary Bladder*;
Urinary Tract;
Waiting Lists
- From:The Journal of the Korean Society for Transplantation
2015;29(3):170-174
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Kidney transplantation is a treatment of choice which improves survival and quality of life for patients with end-stage renal disease. Due to the growing waiting list for kidney transplantation, expansion of the donor pool to use of deceased pediatric kidneys is of critical importance. However, the use of pediatric kidneys has been limited due to concerns about early graft failure, hyperfiltration injury, and technical difficulties. Performing ureteroneocystostomy using small pediatric en bloc kidneys is sometimes difficult due to the small diameter and short length of the ureter in the adult kidney recipient. We hereby report on a partial bladder wall transplantation using pediatric en bloc kidneys. Pediatric en bloc kidneys and partial bladder wall from a 12-month-old female donor who weighed 9.13 kg was transplanted into a 49-year-old male recipient. The urinary tract was reconstructed with a partial bladder wall of the donor. At 12 months post-transplantation, Doppler ultrasonograpy and renogram showed stable graft renal function without urological complications. Pediatric en bloc kidney transplantation with a partial bladder wall can be a safe and feasible surgical technique to reduce urological complications.
