[Surgical aspects of pediatric liver transplantation. Living donor liver transplant program in Hungary].
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.
Kóbori
László
L
Semmelweis Egyetem, Altalános Orvostudományi Kar Transzplantációs és Sebészeti Klinika Budapest Baross u. 23. 1082. koblac@hotmail.com
Máthé
Zoltán
Z
Fazakas
János
J
Gerlei
Zsuzsanna
Z
Doros
Attila
A
Fehérvári
Imre
I
Sárváry
Eniko
E
Hartmann
Erika
E
Németh
Andrea
A
Mándli
Tamás
T
Tóth
Szabolcs
S
Szonyi
László
L
Korponay
Zsuzsanna
Z
Kiss
Mátyás
M
Görög
Dénes
D
Járay
Jeno
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002985:Clinical Protocols; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D053208:Kaplan-Meier Estimate; D016031:Liver Transplantation / Q000379:methods* / Q000401:mortality; D019520:Living Donors