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Article: Recipient body size does not matter in pediatric liver transplantation

TitleRecipient body size does not matter in pediatric liver transplantation
Authors
KeywordsLiver transplantation
Pediatric
Living donor
Deceased donor
Issue Date2014
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal of Pediatric Surgery, 2014, v. 49 n. 12, p. 1734-1737 How to Cite?
Abstract© 2014 Elsevier Inc. All rights reserved. Background and purpose It is controversial whether small size recipient is associated with adverse outcome in liver transplantation. This study aims to evaluate the outcomes of pediatric liver transplantation according to body weight of recipients. Methods Liver transplant recipients (age < 18 years, from 1993 to 2011) were studied retrospectively. They were categorized according to the body size at the time of transplantation (A: < 6 kg; B: between 6 kg to 10 kg; C: > 10 kg). 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 (Figs. 1 and 2), and none of the patients required re-laparotomy for general surgical complications, while 32 patients (32%) in groups B and C did. Regarding transplant-related complications, although group A patients had the highest incidence of biliary tract complications (38.5%, n = 5), the incidence of vascular complications (hepatic artery: 7%, portal vein: 0%, hepatic vein: 0%) in this group was the lowest among the three groups. Conclusion 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).
Persistent Identifierhttp://hdl.handle.net/10722/207310
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802

 

DC FieldValueLanguage
dc.contributor.authorChung, HYen_US
dc.contributor.authorChan, SCen_US
dc.contributor.authorMok, VWKen_US
dc.contributor.authorTam, PKHen_US
dc.contributor.authorLo, CMen_US
dc.date.accessioned2014-12-19T10:20:48Z-
dc.date.available2014-12-19T10:20:48Z-
dc.date.issued2014en_US
dc.identifier.citationJournal of Pediatric Surgery, 2014, v. 49 n. 12, p. 1734-1737en_US
dc.identifier.issn0022-3468-
dc.identifier.urihttp://hdl.handle.net/10722/207310-
dc.description.abstract© 2014 Elsevier Inc. All rights reserved. Background and purpose It is controversial whether small size recipient is associated with adverse outcome in liver transplantation. This study aims to evaluate the outcomes of pediatric liver transplantation according to body weight of recipients. Methods Liver transplant recipients (age < 18 years, from 1993 to 2011) were studied retrospectively. They were categorized according to the body size at the time of transplantation (A: < 6 kg; B: between 6 kg to 10 kg; C: > 10 kg). 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 (Figs. 1 and 2), and none of the patients required re-laparotomy for general surgical complications, while 32 patients (32%) in groups B and C did. Regarding transplant-related complications, although group A patients had the highest incidence of biliary tract complications (38.5%, n = 5), the incidence of vascular complications (hepatic artery: 7%, portal vein: 0%, hepatic vein: 0%) in this group was the lowest among the three groups. Conclusion 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.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg-
dc.relation.ispartofJournal of Pediatric Surgeryen_US
dc.subjectLiver transplantation-
dc.subjectPediatric-
dc.subjectLiving donor-
dc.subjectDeceased donor-
dc.titleRecipient body size does not matter in pediatric liver transplantationen_US
dc.typeArticleen_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.authorityChung, HY=rp02002en_US
dc.identifier.authorityChan, SC=rp01568en_US
dc.identifier.authorityTam, PKH=rp00060en_US
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jpedsurg.2014.09.010en_US
dc.identifier.scopuseid_2-s2.0-84915821730-
dc.identifier.hkuros241946en_US
dc.identifier.volume49en_US
dc.identifier.issue12en_US
dc.identifier.spage1734en_US
dc.identifier.epage1737en_US
dc.publisher.placeUnited States-

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