Open AccessExtraperitoneal kidney transplantation: a comparison between children weighting ≤15 kg and >15 kg. Experience of a single institution
Author(s) -
Ghidini Filippo,
De Corti Federica,
Fascetti Leon Francesco,
Vidal Enrico,
Rancan Alessandra,
Parolin Mattia,
Zadra Nicola,
Grazzini Maurizia,
Maria Antoniello Luca,
Ganarin Alba,
Maita Sonia,
Tog Costanza,
Mognato Guendalina,
Castagnetti Marco,
Benetti Elisa,
Gamba Piergiorgio,
Dall’Igna Patrizia
Publication year - 2021
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/tri.14015
Subject(s) - medicine , surgery , venous thrombosis , wound dehiscence , thrombosis , kidney transplantation , transplantation , complication
Summary Extraperitoneal approach is sometimes recommended for kidney transplantation (KT) in children weighting <15 kg. We hypothesized that this approach might be as successful as in patients with normal weight. Data of all consecutive KTs performed between 2013 and 2019 were retrospectively reviewed. Early outcomes and surgical complications were compared between children weighing ≤15 kg (low‐weight (LW) group) and those weighing >15 kg (Normal‐weight (NW) group). All the 108 KTs were performed through an extraperitoneal approach. The LW group included 31 patients (mean age 3.5 ± 1.4 years), whose mean weight was 11.1 ± 2.0 kg. In the LW group,—a primary graft nonfunction (PNGF) occurred in one patient (3.2%), surgical complications occurred in nine (29%), with four venous thrombosis. In the NW group, PNGF occurred in one case (1.3%), delayed graft function (DGF) in eight (10%), surgical complications in 11 (14%) with only one case of venous thrombosis. In both groups, no need for patch during wound closure and no wound dehiscence were reported. The extraperitoneal approach can be effectively used in LW children. No differences were observed in the overall complication rate ( P = 0.10), except for the occurrence of venous thrombosis ( P = 0.02). This might be related to patients’ characteristics of the LW group.