Long-term outcomes of living-donor kidney transplant children weighing less than 15 kg: Comparison of the surgical approach.

Summary Introduction Kidney transplantation (KTx) is the most effective treatment for end-stage renal disease in children. Objectives We aimed to compare the long-term outcomes and surgical complications of the intraperitoneal approach (IPA) and extraperitoneal approach (EPA) for KTx in children weighing Study design We performed a retrospective cohort study on pediatric kidney transplant recipients, weighing Results The median follow-up duration was 14.1 years (interquartile range, 9.0–19.2). Comparing the two groups (IPA group, n = 62; EPA group, n = 38), the median age and body weight were significantly lower in the IPA group (4.2 vs. 4.8 years, P = 0.03; 11.7 vs. 13.0 kg, P  Discussion We assessed the long-term outcomes of the surgical approaches used for pediatric patients weighing Conclusion The transplant approach did not influence the long-term outcomes in children weighing Summary Table . Comparison of surgical complications by surgical approach. Variables IPA group (n = 62) EPA group (n = 38) P-value Early surgical complications 15 (24%) 1 (3%)  Urinary leak 3 0  Urinary stenosis 1 0  Ileus 2 0  Renal artery thrombosis 1 0  Renal vein thrombosis 1 0  Anastomotic bleeding 1 0  Lymphocele 1 0  Wound infection 1 0  Renal allograft compression syndrome 4 1 Late surgical complications 9 (15%) 1 (3%) 0.08  Ileus 6 0  Bowel obstruction 2 0  Urinary stenosis 0 1  Bladder stone (due to sutures) 1 0 Total 24 (39%) 2 (6%) Surgical reintervention 10 (16%) 1 (3%) 0.05 EPA, extraperitoneal approach; IPA, intraperitoneal approach; KTx, kidney transplantation. Values are presented as numbers (%). Early surgical complications were identified within 30 days post-KTx. Late surgical complications were defined as complications occurring more than 1 month post-KTx.