Combined liver and kidney transplantation and kidney after liver transplantation in children: Indication, postoperative outcome, and long‐term results

• DOI: 10.1111/petr.12595
• Publication Date: 2015-09-05T09:40:12Z
• Authors: Rainer Büscher; Anja K. Büscher; Metin Cetiner; Jürgen W. Treckmann; Andreas Paul; Udo Vester; Peter F. Hoyer
• Keywords: Male; Adolescent; Medizin; Infant; Kidney Transplantation; Liver Transplantation; 3. Good health; Survival Rate; 03 medical and health sciences; Postoperative Complications; Treatment Outcome; 0302 clinical medicine; Child, Preschool; Hyperoxaluria, Primary; Humans; Female; Child; Follow-Up Studies; Polycystic Kidney, Autosomal Recessive; Retrospective Studies

Abstract CLKT and sequential KALT are decided on a case‐by‐case basis in children for special indications such as ARPKD or PH 1. We report 21 who underwent at our hospital between 1998 2013. Eleven were diagnosed with 1 six . Other diagnosis Joubert syndrome (n = 1), nephronophthisis CF hepatocellular carcinoma 1). Children (12 males, nine females) aged 7.8 ± 6.2 yr (range, 10 months to 18 yr) time of transplantation. Average wait was 1.9 0.9 four 2.3 yr). Fifteen patients received dialysis prior In patients, , five two infants have only an LTx, whereas all other indications, performed three cases one girl. Cumulative 10‐yr survival 78.4%. At the transfer into adult care, 13 retained stable liver kidney function. Regardless underlying diagnosis, can be good surgical outcomes long‐term survival.