Pediatric liver transplantation using left hepatic segments from living related donors: Surgical experience in 100 recipients at Saint-Luc University Clinics

被引:56
作者
Darwish, AA [1 ]
Bourdeaux, C [1 ]
Kader, HA [1 ]
Janssen, M [1 ]
Sokal, E [1 ]
Lerut, J [1 ]
Ciccarelli, O [1 ]
Veyckemans, F [1 ]
Otte, JB [1 ]
de Goyet, JD [1 ]
Reding, R [1 ]
机构
[1] Catholic Univ Louvain, Pediat Surg Unit, Clin Univ St Luc, Pediat Liver Transplantat Program, B-1200 Brussels, Belgium
关键词
pediatric liver transplantation; living donation; surgical technique; complications;
D O I
10.1111/j.1399-3046.2005.00477.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Living-related liver transplantation was developed in the context of deceased donor organ shortage, which is particularly acute for pediatric recipients. This retrospective study analyzes the surgical technique and complications in the first 100 pediatric liver transplantation using left segmental liver grafts from living donors, performed at Saint-Luc University Clinics between July 1993 and April 2002. Pre-operative evaluation in donors and recipients, analysis of the surgical technique, and postoperative complications were reviewed. After a median follow-up period of 2526 days, no donor mortality was encountered, with a minimal morbidity and no long-term sequelae. At one and five yr post-transplantation, the actuarial patient survival rates were 94% and 92%, the corresponding figures being 92% and 89% for graft survival. The incidences of portal vein and hepatic artery thromboses, and of biliary complications were 14%, 1%, and 27%, respectively. Living-related liver transplantation in children constitutes an efficient therapy for liver failure to face the increased demand for liver grafts. Donor morbidity was kept to acceptable incidence, and surgical technique in the recipient needs to be tailored to minimize postoperative complications.
引用
收藏
页码:345 / 353
页数:9
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