[Surgical technique in reduced hepatic transplantation in children].
The lack of availability of pediatric donors for liver transplant has resulted in a high mortality rate among children awaiting transplantation, especially in patients weighing less than 10 kg. Knowledge of techniques of liver reduction allows liver transplantation in low-weight children with an adult liver graft, although with increased risk. The authors studied 70 pediatric liver transplants, 14.3% of whom received a reduced-size organ. Maximal difference between donor and recipient weight was 7.7. Segments II, III and IV (right hepatectomy) were transplanted in eight cases while segments II and III were transplanted in two cases. Transfusional requirements during the 48 hour postoperative period were not significantly different between patients with reduced-size liver and patients who received the full-size organ. There was not morbi-mortality secondary to surgical technique in reduced liver transplant group of patients.
Martínez Ibáñez
V
V
Departamento de Cirugía Pediátrica, Hospital Materno-Infantil Vall d'Hebrón, Barcelona.
Lloret
J
J
Broto
J
J
Margarit
C
C
Charco
R
R
Ezzedine
M
M
Boix-Ochoa
J
J
D001835:Body Weight; D002648:Child; D006801:Humans; D008099:Liver / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods*
Técnica quirúrgica en el trasplante hepático pediátrico reducido.