Simultaneous en bloc kidney and pancreas transplantation from pediatric donors: Selection, surgical strategy, management, and outcomes.

• Tác giả: Dixon B Kaufman, Nikole A Neidlinger, Jon S Odorico, Jennifer L Philip, Riccardo Tamburrini, Ching-Yao Yang
• Ngôn ngữ: eng
• Thông tin xuất bản: United States : American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons , 2025
• Bộ sưu tập: NCBI
• ID: 216003

Tóm tắt

 Pediatric donors are underutilized for simultaneous pancreas-kidney transplantation due to concerns about technical complications and inadequate islet and/or renal mass. We analyzed our experience with simultaneous en bloc kidney and pancreas transplantation using pediatric donors on 8 consecutive adult patients from 1997-2018. En bloc kidney transplants were implanted intraperitoneally and contralaterally to right-sided pancreas grafts. All patients became insulin-independent immediately
  with 1 case of delayed kidney function and 1 case of insulin resistance
  there were no graft thromboses. Donor age averaged 5.0 ± 1.7 years and weight 19.8 ± 4.8 kg
  recipient age averaged 46.6 ± 12.8 years and body mass index 25.2 ± 3.8 kg/m