Transplantation of En Bloc Pediatric Kidneys With a Bladder Segment Patch After a Complex Vascular Reconstruction: A Case Report

Javier Gonzalez, Akin Tekin, Paolo Vincenzi, Angel Alvarez, Gaetano Ciancio

Research output: Contribution to journalArticlepeer-review

Abstract

Background: En bloc pediatric kidney (EBPK) allografts represent one potential solution to increase the number of organs available in the donor pool, thus facilitating transplantation of kidneys from young donors into adult recipients. However, EBPK transplantation has been traditionally considered suboptimal because of concerns for perioperative complications. Methods: An extensive reconstruction and successful transplantation of an EBPK allograft using same pediatric donor vascular grafts and a bladder patch aiming to avoid postoperative complications is presented in this report. Results: The warm ischemia time was 25 minutes. No surgical drainage or ureteral stent were used. Postoperative Doppler ultrasound showed laminar blood flow and normal parameters in both the external iliac and graft arteries, no collections, and no signs of obstructive uropathy. The patient had an uneventful recovery showing a creatinine level of 0.86 mg/dL and 0.85 mg/dL at 1 month and 3 months, respectively. Conclusions: A refined back-table reconstruction of these allografts is crucial to avoid mishaps in the postoperative period.

Original languageEnglish (US)
Pages (from-to)2524-2528
Number of pages5
JournalTransplantation proceedings
Volume53
Issue number8
DOIs
StatePublished - Oct 2021
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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