OUTCOME OF EN BLOC AND SINGLE KIDNEY TRANSPLANTATION FROM VERY YOUNG CADAVERIC DONORS1,2,3,4,5,6

Abstract

En bloc transplantation optimizes the outcome of transplantation with very young kidneys. We recommend induction therapy and cyclosporine immunosuppression with cyclosporine levels similar to adult target levels to minimize rejection episodes and, thus, improve outcome. These kidneys should be distributed nationally, because better HLA matching is associated with improved short-term graft survival. Our high ureteral leak rate indicates that alternatives to unstented ureteroneocystostomy should be considered.