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Vol. 37. Issue 6.
Pages 383-386 (June 2013)
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Vol. 37. Issue 6.
Pages 383-386 (June 2013)
Review article
Current status of pediatric donor en bloc kidney transplantation to young adult recipients
Estado actual del trasplante renal en bloque de donante pediátrico en receptor adulto joven
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D. Lorentea,
Corresponding author
dlorente@vhebron.net

Corresponding author.
, E. Trillaa, D. Serónb, J. Moresob, J. Morotea
a Servicio de Urología, Hospital de la Vall d’Hebron, Barcelona, Spain
b Servicio de Nefrología, Hospital de la Vall d’Hebron, Barcelona, Spain
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Abstract
Context and objectives

In recent years, despite the increased number of kidney transplants performed in Spain, we observed a gradual increase in waiting lists. The need to increase the number of transplants performed in our centers forces us to accept as donors the patients previously rejected.

Acquiring of evidence

We performed a systematic review using PubMed of published articles in the last 10 years, that include the words trasplante renal en bloque, “en bloc kidney transplantation” or its initials EBKT.

Synthesis of evidence

The pediatric donor to adult recipient has been included in the expanded criteria donors group, such donors being rejected nevertheless in most centers. However, in recent published series comparing the en bloc kidney transplantation from pediatric donor to adult recipients with other transplanted groups, the authors observe similar results between this kind of transplantation and the “optimal” donor group or living kidney donor group, regarding renal function and graft survival, and better results than the transplanted kidneys with expanded criteria donors group.

Conclusions

The results published in the current series lead us to consider this kind of transplant as an option to increase the number of transplants performed.

Keywords:
Kidney transplant
Pediatric donor
Surgical technique
Resumen
Contexto y objetivo

En los últimos años, a pesar del aumento del número de trasplantes renales realizados en España, hemos observado un incremento progresivo en las listas de espera. La necesidad de aumentar el número de trasplantes nos obliga a aceptar como donantes pacientes anteriormente rechazados.

Adquisición de evidencia

Se realiza una revisión sistemática mediante Pubmed de los artículos publicados en los últimos 10 años que incluyan las palabras «trasplante renal en bloque», en bloc kidney transplantation o sus siglas EBKT.

Síntesis de evidencia

El donante pediátrico trasplantado a receptor adulto ha sido incluido en el grupo de donantes con criterios expandidos, siendo rechazados, sin embargo, este tipo de donantes en la mayoría de los centros. En las últimas series publicadas donde se compara el trasplante renal en bloque de donante pediátrico a receptor adulto con otros grupos, han observado unos resultados similares al donante «ideal» o al donante vivo, en relación con la función renal y supervivencia del injerto, siendo mejores a los trasplantados con riñones procedentes de donantes con criterios expandidos.

Conclusiones

Los resultados observados en las series actuales nos llevan a plantearnos el trasplante en bloque de donante pediátrico como una opción posible y viable para aumentar el número de trasplantes.

Palabras clave:
Trasplante renal
Donante pediátrico
Técnica quirúrgica

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