Does recipient weight and surgical approach really matter in pediatric renal transplantation?

dc.authoridEryiğit Eren /0000-0001-6705-4095
dc.authoridAyhan Dinçkan /0000-0003-1395-333X
dc.authorscopusidEryiğit Eren /57196573309
dc.authorscopusidAyhan Dinçkan /8656794300
dc.authorwosidEryiğit Eren /IZM-9701-2023
dc.authorwosidAyhan Dinçkan /AAO-2633-2020
dc.contributor.authorEren, Eryiğit
dc.contributor.authorDinçkan, Ayhan
dc.date.accessioned2025-04-16T12:49:12Z
dc.date.available2025-04-16T12:49:12Z
dc.date.issued27 Mart 2023
dc.departmentİstinye Üniversitesi
dc.description.abstractAim: To compare the outcomes between low-weight (<15 kg) and normal-weight (>15 kg) children who underwent renal transplantation (RT) and investigate the impact of the surgical approach (intraperitoneal or extraperitoneal RT). Material and Method: This study was designed as an observational single-centre study and was conducted in Istinye University Hospital, Istanbul, Turkey, between January 2018 and June 2021. Data including age, gender, weight, surgical approach (intraperitoneal/extraperitoneal), complications, length of hospital stay, graft and patient survival were collected. Low-weight (LW) and normal-weight (NW) patients were compared. A p value less than 0.05 was considered statistically significant. Results: Overall, 107 (33 LW and 74 NW) patients aged between 1 and 17 were included. The LW group had a significantly lower age and a significantly longer duration of intensive care unit (ICU), and inpatient floor stays than the NW group (p<0.001). Intraperitoneal RT (IRT) was significantly more common in the LW group (57.6% vs 42.4%), while ERT was more frequent in the NW group (87.8% vs 12.2%) (p<0.001). Both early complication and mortality rates were significantly higher in the LW group than in the NW group (p<0.001 and p<0.031). A comparison between the LW and NW patients who underwent ERT revealed that the mean patient age was significantly lower, while the duration of ICU stay was higher in the former than in the latter group (p<0.001 and p<0.004). However, the length of inpatient floor stay, early-term complication, and mortality rates were similar (p>0.05). Conclusion: The extraperitoneal approach should be encouraged in children weighing less than 15 kg.
dc.identifier.citationEren, E., & Dinçkan, A. (2023). Does recipient weight and surgical approach really matter in pediatric renal transplantation?. Journal of Health Sciences and Medicine, 6(2), 494-499.
dc.identifier.doi10.32322/jhsm.1247371
dc.identifier.endpage499
dc.identifier.issn2636-8579
dc.identifier.issue2
dc.identifier.startpage494
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6010
dc.identifier.volume6
dc.institutionauthorEren, Eryiğit
dc.institutionauthoridEryiğit Eren /0000-0001-6705-4095
dc.language.isoen
dc.publisherMedihealth academy yayıncılık
dc.relation.ispartofJournal of healty scıences medıcıne
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectRenal transplantation
dc.subjectPediatric
dc.subjectLow-weight
dc.subjectIntraperitoneal
dc.subjectExtraperitoneal
dc.titleDoes recipient weight and surgical approach really matter in pediatric renal transplantation?
dc.typeArticle

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