Article

[Surgical aspects of pediatric liver transplantation. Living donor liver transplant program in Hungary].

Semmelweis Egyetem, Altalános Orvostudományi Kar Transzplantációs és Sebészeti Klinika Budapest Baross u. 23. 1082.
Orvosi Hetilap 08/2008; 149(27):1271-5. DOI:10.1556/OH.2008.28336 pp.1271-5
Source: PubMed

ABSTRACT Because of the long waiting time for pediatric liver transplantation, new techniques of liver transplantation were invented. Split and living-donor related liver transplantation are common today and the Kaplan-Meier (3 years) overall survival is over 80%. By splitting the liver, two recipients can be transplanted. In general, the left lobe is used for the pediatric, the right lobe for the adult recipient. There are a lot of combinations depending on the donor and recipient weight. The accepted liver volume is approx. 1% of the recipient body weight. The results of the Hungarian pediatric program improve, 27 transplantations were done using 14 partial liver grafts and living donor program was started. Using strict protocols and improving surgical skills, the overall pediatric survival was over 80% in the last 5 years.

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Keywords

14 partial liver grafts
 
27 transplantations
 
accepted liver volume
 
adult recipient
 
donor program
 
Kaplan-Meier
 
last 5 years
 
left lobe
 
liver transplantation
 
living-donor
 
lobe
 
pediatric liver transplantation
 
recipient body weight
 
Split
 
splitting
 
strict protocols
 
waiting time