Impact of Liver Ex Situ Transection on Pediatric Liver Transplantation

Abstract Ex situ hepatic transection (ESHT) has allowed transplantation of younger and smaller patients than whole liver grafts. Liver transection is a technical challenge due to the prolonged back table time, possible graft lesions, and increased surgical bleeding from the cut surface. We compare t...

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Bibliographic Details
Published in:Transplantation proceedings 2010-03, Vol.42 (2), p.507-510
Main Authors: Salzedas-Netto, A.A, Amadei, H.L, Castro, C.C.L, Mattar, R.H, Medeiros, K.L, Linhares, M.M, Duarte, A.A.B, Chinen, E.S, Marino, G.C, Matos, C.A, Lopes-Filho, G, Martins, J.L, Gonzalez, A.M
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Blood Component Transfusion
Blood Loss, Surgical
Cadaver
Child
Child, Preschool
Erythrocyte Count
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Gallbladder - surgery
General aspects
Graft Rejection - epidemiology
Hematocrit
Hepatectomy
Humans
Infant
Intraoperative Period
Liver Function Tests
Liver Transplantation - immunology
Liver Transplantation - mortality
Liver Transplantation - statistics & numerical data
Liver, biliary tract, pancreas, portal circulation, spleen
Medical sciences
Platelet Count
Postoperative Period
Reconstructive Surgical Procedures
Reoperation
Retrospective Studies
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Survival Analysis
Tissue Donors
Tissue, organ and graft immunology
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Description
Summary:Abstract Ex situ hepatic transection (ESHT) has allowed transplantation of younger and smaller patients than whole liver grafts. Liver transection is a technical challenge due to the prolonged back table time, possible graft lesions, and increased surgical bleeding from the cut surface. We compare the outcomes of whole versus transected liver grafts in pediatric liver transplantation. Methods We retrospectively studied 41 pediatric patients who underwent 42 consecutive liver transplants (1 retransplant) from cadaveric donors. The study included all patients
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2010.01.040