{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T09:52:50Z","timestamp":1791021170162,"version":"4.1.0"},"reference-count":7,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transplantation of adult\u2010sized kidneys into very small pediatric recipients can be limited by pronounced donor\u2010recipient size mismatch. Although intraperitoneal placement is often considered, extraperitoneal implantation may reduce abdominal morbidity, provided that the graft can be accommodated safely.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report transplantation of a left kidney from a 46\u2010year\u2010old deceased adult donor into a 15\u2010month\u2010old boy weighing 8.5\u2009kg with congenital nephrotic syndrome and previous bilateral nephrectomy. The 14\u2010cm graft had three arteries of comparable caliber. Because the right retroperitoneal space was insufficient to accommodate the graft, the upper pole, supplied by an independent polar artery, was resected ex\u00a0vivo on the back table, reducing the graft volume by approximately one\u2010third. The remnant kidney was implanted extraperitoneally with venous anastomosis to the inferior vena cava and two arterial anastomoses to the aorta.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome<\/jats:title>\n                    <jats:p>Immediate graft function was excellent. Serum creatinine returned to normal within 24\u2009h and surveillance biopsies at 1\u2009month, 1, 3\u2009, and 5\u2009years showed preserved renal architecture. At 6\u2010year follow\u2010up, the child measured 116\u2009cm, weighed 16\u2009kg, had blood pressure of 90\/60\u2009mmHg, serum creatinine of 0.66\u2009mg\/dL, and a urine protein\u2010creatinine ratio of 0.26\u2009g\/g while receiving mycophenolate monotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In carefully selected circumstances, back\u2010table reduction of a deceased adult donor kidney may be a technically feasible strategy to overcome extreme donor\u2010recipient size mismatch in pediatric kidney transplantation without compromising medium\u2010term graft structure or function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70468","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T08:55:12Z","timestamp":1791017712000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Back\u2010Table Reduction of a Deceased Adult Donor Kidney for Transplantation Into a Small Child: A Six\u2010Year Follow Up"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7566-2330","authenticated-orcid":false,"given":"Kaabak","family":"Michael","sequence":"first","affiliation":[{"name":"European Medical Center  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4651-4061","authenticated-orcid":false,"given":"Rappoport","family":"Nadeen","sequence":"additional","affiliation":[{"name":"European Medical Center  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2454-7930","authenticated-orcid":false,"given":"Gardashnik","family":"Rozanna","sequence":"additional","affiliation":[{"name":"European Medical Center  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avetisov","family":"Evgeny","sequence":"additional","affiliation":[{"name":"European Medical Center  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1059-3773","authenticated-orcid":false,"given":"Platova","family":"Elena","sequence":"additional","affiliation":[{"name":"Boris Petrovsky Research Center of Surgery  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13401"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432\u20102277.1993.tb00641.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467\u2010019\u201004362\u2010z"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/antiox14010066"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/frtra.2023.1277669"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467\u2010022\u201005755\u20103"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00281\u2010021\u201000896\u20103"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.70468","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/petr.70468","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.70468","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T08:55:18Z","timestamp":1791017718000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.70468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":7,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/petr.70468"],"URL":"https:\/\/doi.org\/10.1111\/petr.70468","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-04-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70468"}}