▲Xu Xiaomei is recovering well after undergoing kidney transplantation, taking a photo with her father happily.

(Provided by Beirong)

Reporter Lin Huiqin / Report from Taipei

3-year-old Xu Xiaomei suffers from a rare recessive genetic kidney disease. She has been receiving routine peritoneal dialysis treatment since she was 2 years old. Until January this year, she received a donation from a 14-year-old girl weighing 57 kg. However, her kidneys are already adult size. How to implant the small abdominal cavity weighing 11.5 kg and the total length of the abdominal cavity is about 20 cm is a big challenge. Fortunately, the operation was successful after 7 hours, and the postoperative recovery is very good, and the "kidney dialysis life" has been successfully eliminated. It is also the weight gap among domestic kidney donors The most disparate records.

Cai Xinlin, Director of Pediatric Surgery at Taipei Veterans General Hospital, said that the main causes of chronic renal failure in children are congenital urinary system abnormalities, glomerulonephritis, genetic diseases, and acute kidney injury. Failure to transplant in time will not only affect health, development, psychology, and quality of life , end-stage renal disease will produce many fatal complications.

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Zhang Ruiwen, Director of General Pediatrics at Taipei Veterans General Hospital, pointed out that kidney transplantation is the best treatment for children with end-stage kidney disease, and they can get the best prognosis. Children who were lagging behind in height, weight, and even mental development can obviously catch up with children of the same age.

3-year-old Xu Xiaomei is a rare case in China who received peritoneal dialysis at a young age and was in a stable condition. However, due to disease factors, she was 86.3 cm tall and weighed 11.5 kg before the transplant, at least 10 cm shorter than children of the same age.

▲From August 2020 to now, Taipei Veterans General Manager has successfully completed 6 cases of Daai kidney transplantation for children and teenagers in need, helping sick children escape the pain of lifelong kidney dialysis.

(Provided by Beirong)

The challenge of "refitting a small car with a big engine" Bei Rong's surgery was successful

After Da Ai donated a kidney, how to implant an adult-sized kidney (12x5x6 cm), which is the size of an adult's palm, into the abdominal cavity of Xu Xiaomei, whose space is relatively limited and the total length of her abdominal cavity is only about 20 cm, is the biggest problem for the medical team.

Cai Xinlin pointed out that children accepting adult kidneys is like converting a small car into a big engine, which may become an airplane or scrap iron.

The small belly is formidable to the big kidney, whether it can be closed after the operation, and whether the blood vessels are anastomotic, etc., are all issues that must be considered.

The medical team carefully calculated the 3D volume of Xu Xiaomei's abdominal cavity before the operation, and found that the original kidney had shown severe vesicle changes, and the right kidney had to be removed to gain more space.

In the operation, a midline incision of about 20 cm was made to enter the abdominal cavity, and then the liver, duodenum, and right large intestine on the right side of the abdominal cavity were freed to the left side, and then the right kidney was removed, and the new kidney was anastomosed to the aorta and inferior vena cava.

On the second day after the operation, the renal function returned to normal, and he recovered and was discharged from the hospital. After discharge, his appetite increased by 2.5 kg.

Since August 2020, the Taipei Veterans General Assembly has successfully completed 6 cases of Daai kidney transplantation for difficult children, helping sick children escape the pain of life-long dialysis.

Zhang Ruiwen pointed out that according to the data of the Organ Donation and Transplantation Registration Center, there are currently only 22 children in Taiwan who are registered and waiting for kidney transplantation, but there are about 20-40 new cases of dialysis each year under the age of 20. Parents whose children are receiving dialysis treatment are urged to grasp the Transplant golden time.

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keywords

  • kidney

  • complication

  • health care

  • kidney failure

  • kidney disease

  • child development

  • Peritoneal Dialysis Treatment

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