title: Outcomes of pediatric living donor kidney transplantation: A single-center experience.
abstract: Renal transplantation is the treatment of choice for children with ESRD offering advantages of improved survival, growth potential, cognitive development, and quality of life. The aim of our study was to compare the outcomes of LDKT vs DDKT performed in children at a single center. Retrospective chart review of pediatric patients who underwent kidney transplantation from 2005 to 2014 was performed. Ninety-one renal transplants were accomplished, and 31 cases (38.27%) were LDKT, and in 96.7% of the cases, the graft was obtained through laparoscopy. Thirty-four receptors weighted <25 kg. LDKT group had statistically significant lower cold ischemia times than DDKT one. Complication rate was 9.67% for LDKT and 18.33% for DDKT. eGFR was better in LDKT. Patient survival rate was 100% for LDKT and 98.3% for DDKT, and graft survival rate was 96.7% for LDKT and 88.33%-80% for DDKT at a year and 5 years. Our program of pediatric kidney transplantation has achieved optimal patient and graft survival rates with low rate of complications. Living donor pediatric kidney transplants have higher patient and better graft survival rates than deceased donor kidney transplants.
authors.affiliation: Division of Pediatric Urology, Department of Pediatric Surgery, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Sonia
authors.initials: S
authors.lastname: Pérez-Bertólez
authors.affiliation: Department of Urology, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Rafael
authors.initials: R
authors.lastname: Barrero
authors.affiliation: Department of Pediatric Nephrology, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Julia
authors.initials: J
authors.lastname: Fijo
authors.affiliation: Division of Pediatric Urology, Department of Pediatric Surgery, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Verónica
authors.initials: V
authors.lastname: Alonso
authors.affiliation: Department of Internal Medicine, Summa Akron City Hospital, Ohio, USA.
authors.forename: Devicka
authors.initials: D
authors.lastname: Ojha
authors.affiliation: Division of Pediatric Urology, Department of Pediatric Surgery, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Fernández-Hurtado
authors.affiliation: Department of Pediatric Nephrology, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Jerónimo
authors.initials: J
authors.lastname: Martínez
authors.affiliation: Department of Pediatric Nephrology, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Eduardo
authors.initials: E
authors.lastname: León
authors.affiliation: Division of Pediatric Urology, Department of Pediatric Surgery, Hospital Virgen del Rocío, Sevilla, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: García-Merino
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D050377:Cold Ischemia; D005260:Female; D005919:Glomerular Filtration Rate; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D010535:Laparoscopy; D019520:Living Donors; D008297:Male; D011788:Quality of Life; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors; D014019:Tissue Donors; D016896:Treatment Outcome
keywords: deceased donor; living donor; pediatric kidney transplantation