Abstract
There is a continuing debate about the techniques of kidney transplantation from small donors because of the high vascular thromboses and ureteric leak rates. Transplantation of en-bloc pediatric kidneys with a partial bladder segment has potential benefits over established techniques. We transplanted cadaveric en-bloc kidneys together with a partial bladder segment from a 1.5-year-old donor to a 12-year-old boy with end-stage renal disease due to vesicoureteral reflux (VUR) of a solitary kidney. En-bloc kidneys were transplanted together with both ureters and a partial bladder segment. Using donor bladder segment augmented the recipient bladder. Thereby, potential complications of bilateral ureteroneocystostomies of small ureters were avoided. During the following 12 months, the clinical course was normal and there was no evidence of VUR. In conclusion, the technique of using en-bloc pediatric kidneys together with a partial bladder segment is feasible and safe as well as an efficient procedure to preserve the natural anti-reflux mechanism in childhood.
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References
Pelletier SJ, Guidinger MK, Merion RM, Englesbe MJ, Wolfe RA, Magee JC, Sollinger HW (2006) Recovery and utilization of deceased donor kidneys from small pediatric donors. Am J Transplant 6:1646–1652
Satterthwaite R, Aswad S, Sunga V, Shidban H, Mendez RG, Bogaard T, Asai P, Khetan U, Magpayo M, Mendez R (1997) Outcome of en bloc and single kidney transplantation from very young cadaveric donors. Transplantation 63:1405–1410
Nghiem DD (1991) En bloc transplantation of kidneys from donors weighing less than 15 kg into adult recipients. J Urol 145:14–16
Ciancio G, Kato T, Chen L, Sageshima J, Livingstone AS, Burke GW (2009) Transplantation of en bloc pediatric kidneys with a partial bladder segment in an adult recipient. Transpl Int 22:350–353
Kato T, Selvaggi G, Burke G, Ciancioa G, Zilleruelob G, Hattorid M, Gosalbezc R, Tzakis A (2008) Partial bladder transplantation with en bloc kidney transplant—the first case report of a ‘bladder patch technique’ in a human. Am J Transplant 8:1060–1063
Bretan PN Jr, Friese C, Goldstein RB, Osorio RW, Tomlanovich S, Amend W, Mathur V, Vincenti F (1997) Immunologic and patient selection strategies for successful utilization of less than 15-kg pediatric donor kidneys—long term experiences with 40 transplants. Transplantation 63:233–237
Capizzi A, Zanon GF, Zacchello G, Rigamonti W (2004) Kidney transplantation in children with reconstructed bladder. Transplantation 77:1113–1116
Drakopoulos S, Koukoulaki M, Vougas V, Apostolou T, Hadjiyannakis EI, Hadjiconstantinou V (2004) Transplantation of pediatric kidneys to adult recipients: an analysis of 13 cases. Transplant Proc 36:3161–3163
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Dogan, M., Tugmen, C., Kebapci, E. et al. En-bloc pediatric kidney transplantation together with a partial bladder segment: a case report. Pediatr Nephrol 26, 805–807 (2011). https://doi.org/10.1007/s00467-010-1743-3
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DOI: https://doi.org/10.1007/s00467-010-1743-3