title: Outcomes and technical aspects of liver retransplantation with living donors in children.
abstract: Re-LT is the only recourse for patients with liver graft failure. However, survival rates after re-LT are lower than those of primary transplants. Few reports are available regarding re-LT with LDs in children. The objective of this study was to describe our cohort of patients retransplanted with LD and emphasize the technical aspects of a re-LT with LD. This is a retrospective report of a series of 18 children (<18 yr old) submitted to 20 re-LT from January 1997 to December 2013 at Hospital Sirio-Libanes and Hospital AC Camargo Cancer Center. The one- and five-yr survival for patients retransplanted with LD was 70.6% and 58.6%. Little technical modifications from a regular LD primary transplant were needed in patients retransplanted with LD. Seven (38.8%) patients presented vascular complications following re-LT and three presented biliary complications (16.6%). In conclusion, a re-LT with LD is an acceptable alternative for children who experience liver graft failure and it does not compromise the donor pool. Further experience with re-LT with LD may support this therapy.
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.|Hospital AC Camargo Cancer Center, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Flavia
authors.initials: F
authors.lastname: Feier
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.|Hospital AC Camargo Cancer Center, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Eduardo A
authors.initials: EA
authors.lastname: da Fonseca
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.|Hospital AC Camargo Cancer Center, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Helry L
authors.initials: HL
authors.lastname: Candido
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.|Hospital AC Camargo Cancer Center, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Renata
authors.initials: R
authors.lastname: Pugliese
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.|Hospital AC Camargo Cancer Center, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Marcel R
authors.initials: MR
authors.lastname: Benavides
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.|Hospital AC Camargo Cancer Center, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Romerito
authors.initials: R
authors.lastname: Neiva
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Chapchap
authors.affiliation: Hospital SirioLibanes, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.|Hospital AC Camargo Cancer Center, Hepatology and Liver Transplantation Unit, Sao Paulo, Brazil.
authors.forename: Joao
authors.initials: J
authors.lastname: Seda-Neto
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000379:methods / Q000401:mortality; D019520:Living Donors; D008297:Male; D017063:Outcome Assessment, Health Care; D012086:Reoperation; D012189:Retrospective Studies
keywords: graft; liver; outcomes; pediatric; transplantation