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Pediatric living donor liver transplantation

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Transplant Proc. 2003 Aug;35(5):1808-9. Related Articles, Links

Pediatric living donor liver transplantation.

-Santamaria M, de Vicente E, Gamez M, Murcia M, Leal N, F,

Nuno J, Frauca E, Camarena C, Hierro L, de la Vega A, Bortolo G, M,

Jara P, r J.

Unit of Pediatric Liver Transplantation, Department of Pediatric Surgery, La

Paz University Hospital, Madrid, Spain. mlopez.hulp@...

AIM: The aim of this study was to analyze the results of living donor in a

pediatric liver transplantation program. PATIENTS: 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. RESULTS: 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. CONCLUSIONS: Living donor liver transplantation is an

excellent option for transplantation in children.

PMID: 12962803 [PubMed]

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Transplant Proc. 2003 Aug;35(5):1808-9. Related Articles, Links

Pediatric living donor liver transplantation.

-Santamaria M, de Vicente E, Gamez M, Murcia M, Leal N, F,

Nuno J, Frauca E, Camarena C, Hierro L, de la Vega A, Bortolo G, M,

Jara P, r J.

Unit of Pediatric Liver Transplantation, Department of Pediatric Surgery, La

Paz University Hospital, Madrid, Spain. mlopez.hulp@...

AIM: The aim of this study was to analyze the results of living donor in a

pediatric liver transplantation program. PATIENTS: 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. RESULTS: 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. CONCLUSIONS: Living donor liver transplantation is an

excellent option for transplantation in children.

PMID: 12962803 [PubMed]

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Transplant Proc. 2003 Aug;35(5):1808-9. Related Articles, Links

Pediatric living donor liver transplantation.

-Santamaria M, de Vicente E, Gamez M, Murcia M, Leal N, F,

Nuno J, Frauca E, Camarena C, Hierro L, de la Vega A, Bortolo G, M,

Jara P, r J.

Unit of Pediatric Liver Transplantation, Department of Pediatric Surgery, La

Paz University Hospital, Madrid, Spain. mlopez.hulp@...

AIM: The aim of this study was to analyze the results of living donor in a

pediatric liver transplantation program. PATIENTS: 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. RESULTS: 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. CONCLUSIONS: Living donor liver transplantation is an

excellent option for transplantation in children.

PMID: 12962803 [PubMed]

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Share on other sites

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Transplant Proc. 2003 Aug;35(5):1808-9. Related Articles, Links

Pediatric living donor liver transplantation.

-Santamaria M, de Vicente E, Gamez M, Murcia M, Leal N, F,

Nuno J, Frauca E, Camarena C, Hierro L, de la Vega A, Bortolo G, M,

Jara P, r J.

Unit of Pediatric Liver Transplantation, Department of Pediatric Surgery, La

Paz University Hospital, Madrid, Spain. mlopez.hulp@...

AIM: The aim of this study was to analyze the results of living donor in a

pediatric liver transplantation program. PATIENTS: 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. RESULTS: 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. CONCLUSIONS: Living donor liver transplantation is an

excellent option for transplantation in children.

PMID: 12962803 [PubMed]

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