pISSN 2671-8790 eISSN 2671-8804

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J Korean Soc Transplant 2015; 29(3): 170-174

Published online September 30, 2015

https://doi.org/10.4285/jkstn.2015.29.3.170

© The Korean Society for Transplantation

Adult Kidney Transplantation of Pediatric En bloc Kidneys Using a Partial Bladder Wall

Seung Hwan Song, M.D.1, Juhan Lee, M.D.1, Woong Kyu Han, M.D.2, Yu Seun Kim, M.D.1 and Kyu Ha Huh, M.D.1

Departments of Transplantation Surgery1 and Urology2, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

Correspondence to: Kyu Ha Huh
Department of Transplantation Surgery, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
Tel: 82-2-2228-2100, Fax: 82-2-323-8289
E-mail: KHHUH@yuhs.ac

Received: July 6, 2015; Revised: July 7, 2015; Accepted: July 7, 2015

Abstract

Kidney transplantation is a treatment of choice which improves survival and quality of life for patients with end-stage renal disease. Due to the growing waiting list for kidney transplantation, expansion of the donor pool to use of deceased pediatric kidneys is of critical importance. However, the use of pediatric kidneys has been limited due to concerns about early graft failure, hyperfiltration injury, and technical difficulties. Performing ureteroneocystostomy using small pediatric en bloc kidneys is sometimes difficult due to the small diameter and short length of the ureter in the adult kidney recipient. We hereby report on a partial bladder wall transplantation using pediatric en bloc kidneys. Pediatric en bloc kidneys and partial bladder wall from a 12-month-old female donor who weighed 9.13 kg was transplanted into a 49-year-old male recipient. The urinary tract was reconstructed with a partial bladder wall of the donor. At 12 months post-transplantation, Doppler ultrasonograpy and renogram showed stable graft renal function without urological complications. Pediatric en bloc kidney transplantation with a partial bladder wall can be a safe and feasible surgical technique to reduce urological complications.

Keywords: Kidney transplantation, En bloc kidneys, Pediatric donor