Zhou Xiaohu,Sun Qiang,Zhang Qiyi,et al.In situ split liver transplantation in pediatric recipients: single-center experience[J].Journal of Clinical Pediatric Surgery,,22():44-47.[doi:10.3760/cma.j.cn101785-202204063-009]
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In situ split liver transplantation in pediatric recipients: single-center experience

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第22卷 Number: 2023 01 Page: 44-47 Column: 论著 Date of publication: 2023-01-28
Author(s):
Zhou Xiaohu1; 2;  Sun Qiang1; 2;  Zhang Qiyi1; 2;  Zheng Xiang1; 2;  Xu Chang2;  Yan Sheng1; 2;  Shi Yanjun1; 2;  Wang Weilin1; 2
1 Department of Hepatobiliary & Pancreatic Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China;
2 Zhejiang Provincial Key Laboratory of Precision Diagnosis and Treatment of Hepatobiliary & Pancreatic Tumo
Keywords:
Liver Transplantation; Transplant Recipients; Tissue Donors; Child
DOI:
10.3760/cma.j.cn101785-202204063-009
Abstract:
ObjectiveTo explore the clinical efficacy and safety of in situ split liver transplantation (ISSLT) with organ donation from Brain Death Donor.MethodsA retrospective analysis was performed on series of 30cases of pediatric recipient using in situ split liver transplant technique during May 2020 to September 2021.30 donors were all from brain death,the average age was 42 years.Cause of death of 15 donors was traumatic brain injury (n=15),cerebral hemorrhage (n=13) and breath & cardiac arrest (n=2).Liver was split into left (Ⅱ-Ⅲ) and right (Ⅰ+Ⅳ-Ⅷ) lobes.Piggyback liver transplantation was employed.ResultsDuring follow-ups until September 2021,there was no such vascular-related complications as hepatic artery thrombosis,portal vein stricture or outflow obstruction.There were hemorrhage (n=1) and biliary complication (n=2).The average postoperative stay of intensive care unit (ICU) was 80h and average hospitalization duration 22.8 days.ConclusionAfter thorough evaluations,ISSLT may be safely performed in brain-dead donors with excellent postoperative outcomes and improved utilization rate of donor livers.

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Memo

收稿日期:2022-04-20。
基金项目:国家自然科学基金(82072203);浙江省自然科学基金青年项目(LQ19H160025)
通讯作者:王伟林,Email:wam@zju.edu.cn

Last Update: 1900-01-01