Liver transplantation for biliary atresia: A nationwide investigation from 1996 to 2013 in mainland China

被引：39
作者：
Wan, Ping [1 ]
Xu, Dongwei [1 ]
Zhang, Jianjun [1 ]
Li, Qigen [1 ]
Zhang, Ming [1 ]
Chen, Xiaosong [1 ]
Luo, Yi [1 ]
Shen, Conghuan [1 ]
Han, Longzhi [1 ]
Xia, Qiang [1 ]
机构：
[1] Shanghai Jiao Tong Univ, Sch Med, Ren Ji Hosp, Dept Liver Surg, 1630 Dongfang Rd, Shanghai 200127, Peoples R China
来源：
PEDIATRIC TRANSPLANTATION | 2016年 / 20卷 / 08期
关键词：
China Liver Transplant Registry; Kasai; living donor; children; survival; SINGLE-CENTER EXPERIENCE; STOOL COLOR CARD; LATE GRAFT LOSS; NATIVE LIVER; OUTCOMES; RECIPIENTS; SURVIVAL; INFANTS; TAIWAN; JAPAN;
D O I：
10.1111/petr.12750
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
We investigated the overall situation of LT for BA in mainland China and analyzed their survival outcomes based on data from CLTR. Between January 1996 and December 2013, 509 liver transplants for BA were performed in mainland China and were included in this study. Patients' median age was 9.6 months (range: 4.8-175.2 months). KP was previously performed in 194 cases (38.1%). Grafts from living donors were used in 380 cases (74.7%). Era I (1996.1-2010.12) and era II (2011.1-2013.12) comprised 151 cases (29.7%) and 358 cases (70.3%), respectively. Twenty-five centers had performed at least one liver transplant for children with BA. Centers from Shanghai (197 cases), Tianjin (143 cases) and Beijing (81 cases) involved 82.7% of the 509 cases. One-and five-yr graft survival rates were 84.7% and 72.6%, respectively. Split grafts, center volume <20, GRWR >= 4.0%, and steroid-free immunosuppression regimen were independent risk factors for graft survival. In conclusion, the dramatic expansion of pediatric liver transplant programs in mainland China has enabled improved survival for those children affected by this devastating disease. However, screening of BA in neonates should be emphasized throughout the country to enhance early referrals for KP.
引用
收藏
页码：1051 / 1059
页数：9
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