Clinical Study

Hellenic Journal of Surgery

, Volume 83, Issue 6, pp 331-335

First online:

Transplantation of paediatric kidneys to adult recipients: Analysis of 21 cases

  • V. DrakopoulosAffiliated with1st Surgical Department and Transplant Unit, Evangelismos General Hospital of Athens Email author 
  • , I. KarampinisAffiliated with1st Surgical Department and Transplant Unit, Evangelismos General Hospital of Athens
  • , V. VougasAffiliated with1st Surgical Department and Transplant Unit, Evangelismos General Hospital of Athens
  • , S. DrakopoulosAffiliated with1st Surgical Department and Transplant Unit, Evangelismos General Hospital of Athens
  • , A. KostakisAffiliated with2nd University Propaedeudic Surgical Department, Laikon Hospital of Athens

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Abstract

Aim — Background

Renal transplantation is the treatment of choice for many patients with end-stage renal disease. The shortage of deceased donor grafts and the increasing graft survival rates have prompted many centres to expand the criteria used when considering the suitability of an organ for transplantation. Paediatric kidneys can present a perfect solution towards overcoming the graft shortage.

Materials and Methods

From July 2007 to July 2010, 21 transplantations from donors of less than 15 years of age were performed in our unit, including 2 recipients who received a graft en bloc. Our recipients were divided into 2 groups: those who received kidneys from donors between 18 months and 6 years of age (6 recipients group a) and those who received kidneys from donors between 6 and 15 years of age (15 recipients group b).

Results

Group A displayed a 1-year recipient survival rate of 83.34% (one recipient died from acute myocardial infarction) and a graft survival rate of 100%. The 1-year recipient survival rate for group B was 100% whereas the graft survival rate was 93.34% (one graft was lost due to acute thrombosis).

Key words

Kidney transplantation Paediatric Kidney Donation Adult Recipient