Kemper, Markus

Neuhaus, Thomas

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Pediatr Nephrol (2006) 21: 1055DOI 10.1007/s00467-006-0092-8LETTER TO THE EDITORSThomas J. Neuhaus . Markus J. KemperLiving-related kidney transplantation in pediatric recipientsReceived: 6 January 2006 / Accepted: 6 January 2006 / Published online: 25 April 2006# IPNA 2006Sirs,We appreciate the comments of Troppmann et al. [1]concerning our previous experience [2]. Their reportconfirms the high degree of satisfaction of parental donorswith the decision-making process and the peri- andpostoperative procedures in living-related kidney trans-plantation (LRKT). In addition, they highlight the fact thatspecific circumstances in pediatric transplantation, i.e., theparent-to-child bond, is the main driving force towardsLRKT, even superseding medical concerns. Although theimproved operating technique, i.e., laparoscopic donornephrectomy, did not influence the donors’ perspective anddecision towards LRKT, the beneficial effects of less painand faster rehabilitation of the donors and reduced costs arewelcome by all partners in the field of pediatric renaltransplantation. However, the debate is still open regardingsome concerns that laparoscopic donor nephrectomy mightbe a risk factor for delayed graft function and acuterejection in young recipients [3], although long-term graftfunction was not impaired [4, 5].References1. Troppmann C, Johnston WK III, Pierce JL, McVicar JP, PerezRV (2006) Impact of laparoscopic nephrectomy on donorpreoperative decision-making and postoperative quality of lifeand psychosocial outcomes. Pediatr Nephrol http://dx.doi.org/10.1007/s00467-006-0093-72. Neuhaus TJ, Wartmann M, Weber M, Landolt MA, Laube GF,Kemper MJ (2005) Psychosocial impact of living-relatedkidney transplantation on donors and partners. Pediatr Nephrol20:205–2093. Troppmann C, McBride MA, Baker TJ, Perez RV (2005)Laparoscopic live donor nephrectomy: a risk factor for delayedfunction and rejection in pediatric kidney recipients? A UNOSanalysis. Am J Transplant 5:175–1824. Troppmann C, Pierce JL, Wiesmann KM, et al (2002) Early andlate recipient graft function and donor outcome after laparo-scopic vs open adult live donor nephrectomy for pediatric renaltransplantation. Arch Surg 137:908–915; discussion 915–9165. Singer JS, Ettenger RB, Gore JL, et al (2005) Laparoscopicversus open renal procurement for pediatric recipients of livingdonor renal transplantation. Am J Transplant 5:2514–2520T. J. Neuhaus (*) . M. J. KemperDepartment of Pediatric Nephrology,University Children’s Hospital,Steinwiesstrasse 75,8032 Zurich, Switzerlande-mail: thomas.neuhaus@kispi.unizh.chTel.: +41-44-2667111Fax: +41-44-2667861

Living-related kidney transplantation in pediatric recipients

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Living-related kidney transplantation in pediatric recipients

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