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Conference Paper: Recipient body size dose not matter in paediatric liver transplantation

TitleRecipient body size dose not matter in paediatric liver transplantation
Authors
Issue Date2014
Citation
The 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014. How to Cite?
AbstractBACKGROUND/PURPOSE: It is controversial whether small-sized recipient is associated with adverse outcome in liver transplantation. This study aims to evaluate the outcomes of paediatric liver transplantation according to the body weight of recipients METHODS: Liver transplant recipients (age < 18, from 1993 to 2011) were studied retrospectively. They were categorized according to the body size at the time of transplantation (A: <6kg, B: between 6kg to 10kg, C: >10kg) RESULTS: A total of 113 patients (83 LDLTs and 30 DDLTs) were studied. Thirteen (11.5%) belonged to group A; 56 (49.6%) belonged to group B and 44 (38.9%) belonged to group C. The best graft and patient survivals were found in group A and none of the patients required re-laparotomy for general surgical complications while 32 (32%) in group B and C did. Regarding transplant-related complications, although group A patients had the highest incidence of biliary stricture (30.7%, n=4), the incidence of vascular complications (hepatic artery : 7%; portal vein: 0% and hepatic vein: 0%) was the lowest among the three groups. CONCLUSIONS: Outcomes of small-sized recipients are not inferior. Less technical-related vascular complications, which may lead to early graft loss, were observed. This could be patient-related (less advanced cirrhosis) or surgeon-related (additional attention paid).
DescriptionOral Presentations - All Short Oral (SO): no. SO1
Persistent Identifierhttp://hdl.handle.net/10722/198211

 

DC FieldValueLanguage
dc.contributor.authorChung, HYen_US
dc.contributor.authorChan, SCen_US
dc.contributor.authorTam, PKHen_US
dc.contributor.authorLo, CMen_US
dc.date.accessioned2014-06-25T02:54:47Z-
dc.date.available2014-06-25T02:54:47Z-
dc.date.issued2014en_US
dc.identifier.citationThe 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014.en_US
dc.identifier.urihttp://hdl.handle.net/10722/198211-
dc.descriptionOral Presentations - All Short Oral (SO): no. SO1-
dc.description.abstractBACKGROUND/PURPOSE: It is controversial whether small-sized recipient is associated with adverse outcome in liver transplantation. This study aims to evaluate the outcomes of paediatric liver transplantation according to the body weight of recipients METHODS: Liver transplant recipients (age < 18, from 1993 to 2011) were studied retrospectively. They were categorized according to the body size at the time of transplantation (A: <6kg, B: between 6kg to 10kg, C: >10kg) RESULTS: A total of 113 patients (83 LDLTs and 30 DDLTs) were studied. Thirteen (11.5%) belonged to group A; 56 (49.6%) belonged to group B and 44 (38.9%) belonged to group C. The best graft and patient survivals were found in group A and none of the patients required re-laparotomy for general surgical complications while 32 (32%) in group B and C did. Regarding transplant-related complications, although group A patients had the highest incidence of biliary stricture (30.7%, n=4), the incidence of vascular complications (hepatic artery : 7%; portal vein: 0% and hepatic vein: 0%) was the lowest among the three groups. CONCLUSIONS: Outcomes of small-sized recipients are not inferior. Less technical-related vascular complications, which may lead to early graft loss, were observed. This could be patient-related (less advanced cirrhosis) or surgeon-related (additional attention paid).-
dc.languageengen_US
dc.relation.ispartofAnnual Scientific Meeting of the Pacific Association of Pediatric Surgeons, PAPS 2014en_US
dc.titleRecipient body size dose not matter in paediatric liver transplantationen_US
dc.typeConference_Paperen_US
dc.identifier.emailChan, SC: chanlsc@hkucc.hku.hken_US
dc.identifier.emailTam, PKH: paultam@hku.hken_US
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_US
dc.identifier.authorityChan, SC=rp01568en_US
dc.identifier.authorityTam, PKH=rp00060en_US
dc.identifier.authorityLo, CM=rp00412en_US
dc.identifier.hkuros229594en_US

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