Postoperative surgical complications after pediatric kidney transplantation in low weight recipients (<15âkg): a systematic review.
Curr Opin Organ Transplant
; 28(4): 297-308, 2023 Aug 01.
Article
en En
| MEDLINE
| ID: mdl-37219086
ABSTRACT
PURPOSE OF REVIEW Kidney transplantation in low-weight recipients (<15âkg) is a challenging surgery with special characteristics. We proposed to perform a systematic review to determine the postoperative complication rate and the type of complications after kidney transplantation in low-weight recipients (<15âkg). The secondary objectives were to determine graft survival, functional outcomes, and patient survival after kidney transplantation in low-weight recipients. METHODS:
A systematic review was performed according to preferred reporting items for systematic reviews and meta-analyses. Medline and Embase databases were searched to identify all studies reporting outcomes on kidney transplantation in low-weight recipients (<15âkg).RESULTS:
A total of 1254 patients in 23 studies were included. The median postoperative complications rate was 20.0%, while 87.5% of those were major complications (Clavien ≥3). Further, urological and vascular complications rates were 6.3% (2.0-11.9) and 5.0% (3.0-10.0), whereas the rate of venous thrombosis ranged from 0 to 5.6%. Median 10-year graft and patient survival were 76 and 91.0%.SUMMARY:
Kidney transplantation in low-weight recipients is a challenging procedure complicated by a high rate of morbidity. Finally, pediatric kidney transplantation should be performed in centers with expertise and multidisciplinary pediatric teams.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades Cardiovasculares
/
Trasplante de Riñón
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Systematic_reviews
Límite:
Child
/
Humans
Idioma:
En
Revista:
Curr Opin Organ Transplant
Año:
2023
Tipo del documento:
Article