Table 1 Summary of key technical tips for allograft implantation in children

Avoid redundancy in the donor renal artery and vein

Select large-diameter inflow and outflow vessels in the recipient

Leave a cuff of IVC with the donor’s right renal vein

Avoid crossing of the renal vein and the artery one over the other

At least half the arterial anastomosis should be with interrupted sutures

Clamp the IVC and the aorta sequentially for the venous and the arterial anastomosis

Cool the kidney during the anastomosis

Check haemostasis of the venous suture line before starting the arterial anastomosis

Tension-free closure of the abdominal wall (may need muscle flaps, bioprosthetic mesh placement)

Perioperative anticoagulation for children at risk of allograft thrombosis