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Verwandtennierentransplantation bei Kindern jünger als fünf Jahre — intraperitoneales oder extraperitoneales chirurgisches Vorgehen?

  • J. Fangmann
  • K. Oldhafer
  • G. Offner
  • R. Pichlmayr
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Living-Related Renal Transplantation in Children under 5 Years: Intraperitoneal or Extraperitoneal Surgical Approach?

Summary

The extraperitoneal approach and positioning of the vascular anastomoses, invariably to the distal aorta and inferior caval vein has been shown to represent a technically feasible, safe, and successful procedure for transplanting adult renal grafts to children under 5 years of age weighing less than 10 kg. Since it offers additional advantages compared to the transperitoneal approach we recommend the extraperitoneal approach in the pediatric living-related renal transplantation setting as the standard procedure.

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Literatur

  1. 1.
    Fine RN, Ettenger R (1994) Renal transplantation in children. In: Morris PJ (ed) Kidney transplantation: principles and practice, W. B. Saunders, Philadelphia, pp 412–459Google Scholar
  2. 2.
    McEnery PT, Stablein DM, Arbus G, Tejani A (1992) Renal transplantation in children. N Engl J Med 326:1727PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • J. Fangmann
    • 1
  • K. Oldhafer
    • 1
  • G. Offner
    • 1
  • R. Pichlmayr
    • 1
  1. 1.Klinik für Abdominal- und TransplantationschirurgieMedizinische Hochschule HannoverHannoverDeutschland

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