Details

Autor(en) / Beteiligte

• López-Santamaria, M
• de Vicente, E
• Gámez, M
• Murcia, M
• Leal, N
• Hernandez, F
• Nuño, J
• Frauca, E
• Camarena, C
• Hierro, L
• de la Vega, A
• Bortolo, G
• Diaz, M
• Jara, P
• Tovar, J

Titel

Pediatric living donor liver transplantation

Ist Teil von

• Transplantation proceedings, 2003-08, Vol.35 (5), p.1808-1809

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2003

Quelle

MEDLINE

Beschreibungen/Notizen

• The aim of this study was to analyze the results of living donor in a pediatric liver transplantation program. Twenty-six living donor liver transplantations were performed in children from 0.5 to 14.8 years of age. The main indication was biliary atresia (72%) followed by tumors (2 hepatoblastomas and 1 hepatocarcinoma). Left lateral segments were used in 23 (1 transformed into a monosegment), 1 left lobe was used in 1, and right lobes were used in 2. Arterial reconstruction employed saphenous venous grafts in the first 3 cases and end-to-end anastomoses with a microsurgical technique in the following 22 cases. There has been no major morbidity in the donors, with a median hospitalization of 6 days. Four grafts have been lost; 2 in the first 3 cases. In only 1 case, the graft loss was related to the procedure saphenous venous graft thrombosis). Early biliary complications were frequent (23%). Six month, 1 year, and 5 year graft and patient survival rates were 91%, 85%, and 85% and 100%, 96%, and 96%, respectively. Living donor liver transplantation is an excellent option for transplantation in children.