En-bloc pediatric kidney transplantation together with a partial bladder segment: a case report
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Murat Dogan & Cem Tugmen & Eyup Kebapci & Umit Yildirim & Cezmi Karaca & Caner Alparslan & Onder Yavascan & Nejat Aksu
- چاپ و سال / کشور: 2011
Description
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 enbloc pediatric kidneys together with a partial bladder segment is feasible and safe aswell as an efficient procedure to preserve the natural anti-reflux mechanism in childhood.
Pediatr Nephrol (2011) 26:805–807 DOI 10.1007/s00467-010-1743-3 Received: 13 November 2010 / Accepted: 8 December 2010 / Published online: 7 January 2011
