Work

Paediatric renal transplantation: Paediatric surgeons' perspective

Year: 2026

Type: article

Abstract: Renal transplantation is the most effective treatment for paediatric end‐stage renal disease (ESRD), offering advantages in survival, growth and neurocognitive development that surpass other renal replacement therapies (RRT). The paediatric setting, however, introduces distinct complexities that distinguish it from adult practice. One of the most significant challenges is the size mismatch between the small recipient and the adult donor kidney, which can lead to technical and surgical complications such as vascular anastomoses, thrombosis and ureteral leaks. This review aims to examine the spectrum of unique factors influencing transplant outcomes, including paediatric‐specific ESRD aetiology, pre‐operative urodynamic investigation and dialysis planning, intra‐operative surgical and haemodynamic considerations, and post‐operative management. Current evidence highlights the need for multidisciplinary teams with specialised paediatric expertise. By tailoring surgical approaches and long‐term management to the physiology and developmental needs of children, paediatric transplant teams can maximise graft survival, minimise morbidity and enhance long‐term quality of life in this vulnerable population.

Source: Surgical Practice

DOI: 10.1111/1744-1633.70076

Authors: Adrian Chi‐heng Fung, Mary Kim Elizabeth Tan Cudia, Ivy Hau‐yee Chan, Kenneth Kak‐yuen Wong

Institution: University of Hong Kong

Language: English

Topic: Renal Transplantation Outcomes and Treatments

Subfield: Transplantation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,760