Abstract:
Aim. The aim of this study was to share our initial successful experiences with en bloc
dual kidney transplantation.
Cases. En bloc kidney were obtained, for case 1 from a 3-year-old deceased pediatric donor
who had undergone cadaveric liver transplantation due to fulminant hepatitis A virus infection
1 week prior. The donor length was 97 cm and weight 13 kg. According to the age and weight
of the donor, we selected a 50-year-old respectively. For case 2, a kidney was retrieved from a
20-month-old pediatric donor after development of hypoxic brain injury secondary to status
epilepticus. The donor lengh and weight were 75 cm and 13 kg respectively. A 30-year-old
female patient was of 162 cm and 59 kg. The suprarenal aorta, suprarenal vena cava, and caval
and aortic lumbar branches were closed with running sutures during the backtable procedures.
After the classic Gibson incision, the donor aorta was anastomosed to the recipient right
common iliac artery, and the donor inferior vena cava to the recipient right common iliac vein
in end-to-side fashion. The ureters were implanted with mucosa-to-mucosa ureteroneocystostomies
separately according to the Lich-Gregoir technique. After the vascular anastomoses
the kidneys had immediate good perfusion in both cases. Postoperative recovery was rapid, the
recipients were discharged uneventfullly.
Conclusion. En bloc dual kidney transplantation from young pediatric patients to adult
recipients can be performed with low mortality and morbidity even by new centers.
