Surgeons overcame several obstacles to successfully complete an organ transplant surgery for a three-year-old with inherited kidney disease, Taipei Veterans’ General Hospital said yesterday.
The patient, a girl surnamed Hsu (許), was diagnosed with polycystic kidney disease, a rare genetic disorder, at birth, the hospital told a news conference.
She has taken medication and had dialysis daily since she was two, and the condition limited her growth, it said, adding that at 86.3cm and 11.5kg, she is shorter and lighter than most other children her age.
Pediatric Surgery Division director Tsai Hsin-lin (蔡昕霖) said that most children who need a kidney transplant have inherited urinary system abnormalities, glomerulonephritis, acute kidney damage or other genetic disorders.
However, dialysis can cause delays in physical and neurocognitive development in young children, Tsai said.
As their bodies are so small, surgery on the urinary system of children with chronic kidney disease is more complicated, but if they do not get a kidney transplant before adulthood, the stunting of their growth might worsen, leading to learning disabilities, uremia, anemia, or even acute stroke or heart attack, he said.
Getting a transplant is a race against time, he added.
Another issue is that most kidney donors are adults, Tsai said.
After waiting a year for a compatible kidney from a donor who weighed 57kg, the big challenge for the surgical team was how to implant a 12cm-long kidney into Hsu’s abdominal cavity, which was only about 20cm long, he said, adding that the organ they removed was 8cm long.
The team had to precisely calculate the dimensions of Hsu’s abdominal cavity and the operation took seven hours, he said.
The surgeons removed the damaged kidney, moved her large intestine and duodenum to the left to make room for the donor kidney and connected blood vessels to it to prevent tubular necrosis, he said.
The team also reported the successful cases of a nine-year-old child, surnamed Chen (陳) and four other kidney transplants involving children since August 2020.
Pediatric Division director Chang Jei-wen (張瑞文) said that a kidney transplant is the best treatment for children with end-stage renal disease, as it not only has the best prognosis, but can also allow a young patient’s physical and cognitive growth to catch up with children of the same age.
EMBRACE CHANGE: Jensen Huang told NTU graduates that instead of worrying about AI itself, they should worry that people with expertise in AI would be taking their jobs Artificial intelligence (AI) is redefining the computer industry, and Taiwanese companies could play a major role in replacing the world’s traditional computers as they are the foundation of the industry, Nvidia Corp cofounder and CEO Jensen Huang (黃仁勳) said in Taipei yesterday. Huang made the remarks while giving the keynote speech at National Taiwan University’s (NTU) commencement ceremony. AI has created immense opportunities, and versatile companies can be expected to take advantage and boost their position, while less flexible firms would perish, he said. “In every way, this is a rebirth of the computer industry and a golden opportunity for the companies of
‘ARCHAIC’: An interpretation of a law that considered Chinese as Taiwanese nationals was scrapped after the death of a Chinese in Kaohsiung led to state reparations An administrative mandate to consider Chinese as Taiwanese citizens was outdated, Premier Chen Chien-jen (陳建仁) said yesterday, a day after the Executive Yuan ordered that agencies disregard the 30-year-old interpretation. Chen made the remarks at an event held by the Environmental Protection Administration in Taipei following changes to the administrative mandate concerning the Act Governing Relations Between the People of the Taiwan Area and the Mainland Area (臺灣地區與大陸地區人民關係條例). The previous interpretation of the law was archaic and contrary to the workings of laws and regulations, he said, adding that the order was made to avoid unnecessary problems created by the mandate. The Mainland
NOT BUYING IT: One of the goals of Beijing’s Cross-Strait Media People Summit was to draw mainstream media executives to discuss the ‘one country, two systems’ formula Taiwanese news media insist on press freedom and professionalism, and would never become a tool of China’s “united front” campaign, Premier Chen Chien-jen (陳建仁) said yesterday, responding to media queries about the lack of Taiwanese media executives at the Cross-Strait Media People Summit in Beijing. Chinese People’s Political Consultative Conference (CPPCC) Chairman Wang Huning (王滬寧) was reportedly furious that no Taiwanese media representatives attended a scheduled meeting with him on Thursday last week. “Beijing should take Taiwan’s determination to pursue freedom and democracy seriously. We also hope that it will not use vicious means to interfere with Taiwan’s development into a
IMMIGRATION REFORM: The legislative amendments aim to protect the rights of families to reunify, and to attract skilled professionals to stay and work in Taiwan Foreigners who are highly skilled professionals, top-prize winners in professional disciplines, investment immigration applicants or have made special contributions to Taiwan can soon apply for permanent residency on behalf of their spouses and minor or disabled children after the legislature approved amendments to the Immigration Act (入出國及移民法). The amendments, which were proposed by the Ministry of the Interior and approved by the Executive Yuan on Jan. 12, aim to attract foreign talent to Taiwan and encourage them to stay. They would take effect once they are signed by President Tsai Ing-wen (蔡英文). The amendments involved changing 63 articles, making it the biggest