کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5718597 1411254 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Kidney transplantation in children weighing 15 kg or less is challenging but associated with good outcome
ترجمه فارسی عنوان
پیوند کلیه در کودکان با وزن 15 کیلوگرم و کمتر چالش برانگیز است اما با نتیجه خوب همراه است
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

SummaryObjectivePediatric kidney transplantation (KT) in small children is assumed to be related to potential surgical complications that may cause severe morbidity and graft loss. The aim of our study was to analyze the outcome of KT recipients weighing ≤15 kg, focusing on surgical complications, associated morbidity and mortality, as well as allograft loss.MethodsWe reviewed our retrospective institutional database for recipients of KT between January 2000 and December 2014 with body weight ≤15 kg.ResultsForty-four children weighing ≤15 kg, out of a total of 164 children (26.8%), received a deceased donor KT at our center during the study period. Mean weight was 10.10 ± 2.9 kg (3-15 kg), and weight was ≤10 kg in 23 patients (52.3%). The allograft was implanted intraperitoneally in two cases (4.5%) and extraperitoneally in the remaining 42 (95.5%). Two patients received a simultaneous double liver-kidney transplant. Postoperative complications appeared in 10 patients (22.7%) and eight required reintervention. Five allografts (11.4%) were lost secondary to surgical complications. No statistically significant differences in surgical complications were observed when compared with patients weighing >15 kg. Actuarial graft survival was 81% and 73% at 1 and 5 years, respectively. No significant differences in graft survival were observed compared with patients >15 kg. Mean follow-up was 84.95 ± 50 months (1-190 months).ConclusionsOur results demonstrate that KT in children weighing ≤15 kg is challenging but not associated with increased risk of surgical complications or early graft loss.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 13, Issue 3, June 2017, Pages 279.e1-279.e7
نویسندگان
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