Abstract
Pediatric kidney transplantation has become highly successful in the modern era and is the treatment of choice for children with end-stage renal disease (ESRD). Achieving successful surgical outcomes requires a methodical and multidisciplinary approach, beginning with a thorough preoperative evaluation. There are various anatomical and physiological considerations unique to children with chronic kidney disease that necessitates a nuanced surgical approach. In the preoperative phase, addressing underlying urological abnormalities and native kidney disease can be crucial to maximizing graft longevity and survival. Additionally, an individualized approach to surgical technique and fluid management during the operation is critical in preventing technical complications. Lastly, the risk of vascular and urologic complications is higher in the pediatric transplant population. A prompt diagnostic evaluation of early graft dysfunction is crucial to ensuring successful outcomes.
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References
Smith JM, Stablein D, Singh A, Harmon W, McDonald RA. Decreased risk of renal allograft thrombosis associated with interleukin-2 receptor antagonists: a report of the NAPRTCS. Am J Transplant Off J Am Soc Transplant Am Soc Transplant Surg. 2006;6(3):585–8.
Smith JM, Martz K, Blydt-Hansen TD. Pediatric kidney transplant practice patterns and outcome benchmarks, 1987–2010: a report of the North American Pediatric Renal Trials and Collaborative Studies. Pediatr Transplant. 2013;17(2):149–57.
North American Pediatric Renal Trials and Collaborative Studies. 2014 annual transplant report. 2014.
Ellis D, Gilboa N, Bellinger M, Shapiro R. Renal transplantation in infants and children. In: Shapiro R, Simmons RL, Starzl TE, editors. Renal transplantation. Stamford: Appleton & Lange. 1997, p. 427–69.
Moers C, Smits JM, Maathuis MH, Treckmann J, van Gelder F, Napieralski BP, et al. Machine perfusion or cold storage in deceased-donor kidney transplantation. N Engl J Med. 2009;360(1):7–19.
Lich RHL, Davis LA. Recurrent urosepsis in children. J Urol. 1961;86:554–8.
Gregoir W. The surgical treatment of congenital vesico-ureteral reflux. Acta Chir Belg. 1964;63:431–9.
Gregoir W, Vanregemorter G. Congenital vesico-ureteral reflux. Urol Int. 1964;18:122–36.
Politano VA, Leadbetter WF. An operative technique for the correction of vesicoureteral reflux. J Urol. 1958;79(6):932–41.
Taguchi Y, Klauber GT, MacKinnon KJ. Implantation of transplant ureters: a technique. J Urol. 1971;105(2):194–5.
Singh A, Stablein D, Tejani A. Risk factors for vascular thrombosis in pediatric renal transplantation: a special report of the North American Pediatric Renal Transplant Cooperative Study. Transplantation. 1997;63(9):1263–7.
Gulati A, Sarwal MM. Pediatric renal transplantation: an overview and update. Curr Opin Pediatr. 2010;22(2):189–96.
Acknowledgment
This work was supported in part by Health Resources and Services Administration contract 234-2005-37011C. The content is the responsibility of the authors alone and does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US government.
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Perry, A., Woloszyn, J., Santhanakrishnan, C. (2019). Kidney Transplantation in Children and Adolescents: Surgical Aspects. In: Haddad, M., Winnicki, E., Nguyen, S. (eds) Adolescents with Chronic Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-97220-6_13
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DOI: https://doi.org/10.1007/978-3-319-97220-6_13
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